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Individual

MS. ELLEN MCKENZIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW-CC

Contact information

Practice address
75 WASHINGTON AVE, PORTLAND, ME 04101-2665
(207) 772-4110
Mailing address
75 WASHINGTON AVE, PORTLAND, ME 04101-2665
(207) 772-4110

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC10870
ME

Other

Enumeration date
05/28/2010
Last updated
05/28/2010
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