Individual
MARA LARKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-0111
(207) 662-2636
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-0111
(207) 662-2636
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC15381
ME
Other
Enumeration date
08/22/2013
Last updated
05/14/2020
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