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Individual

MS. CHRISTINA STEPHENS-MALLOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
474 SIMPSON RD, BUXTON, ME 04093-6213
(617) 229-5732
Mailing address
474 SIMPSON RD, BUXTON, ME 04093-6213
(617) 522-5732

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
124041
MA
1041C0700X
Clinical Social Worker
LC24968
ME

Other

Enumeration date
10/06/2020
Last updated
10/03/2025
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