Individual
MISS MARY ELLEN GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PERSONAL SUPPORTS
Contact information
Practice address
33 WILKES ST, WATERVILLE, ME 04901-5034
(207) 649-7430
Mailing address
33 WILKES ST, WATERVILLE, ME 04901-5034
(207) 649-7430
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
3001905
ME
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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