Individual
AGNES DORIS MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
79 MAIN ST, AUBURN, ME 04210-5811
(207) 242-2292
Mailing address
197 MAINE ST, POLAND, ME 04274-5102
(207) 242-2292
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC5005
ME
Other
Enumeration date
02/15/2012
Last updated
02/14/2020
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