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Individual

MARY LOUISE SPAIN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RNCS

Contact information

Practice address
143 STATE ST, NEWBURYPORT, MA 01950-6621
(978) 462-2890
(978) 462-2890
Mailing address
143 STATE ST, NEWBURYPORT, MA 01950-6621
(978) 462-2890
(978) 462-2890

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
97559
MA
163WP0808X
Psychiatric/Mental Health Registered Nurse
MS03596491
MA

Other

Enumeration date
08/11/2005
Last updated
07/08/2007
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