Individual
NATHANNA MALINA MCGIVNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
50 LYDIA LN, SOUTH PORTLAND, ME 04106-2156
(207) 766-6757
(207) 874-1181
Mailing address
50 LYDIA LN, SOUTH PORTLAND, ME 04106-2156
(207) 766-6757
(207) 874-1181
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC12306
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432358599
—
ME
Enumeration date
08/03/2010
Last updated
08/03/2010
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