Individual
MISS MALLORY NICOLE GROBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
314 ALFRED ST, BIDDEFORD, ME 04005-3102
(802) 281-2018
Mailing address
314 ALFRED ST, BIDDEFORD, ME 04005-3102
(802) 281-2018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC18174
ME
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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