Individual
MACKENZIE LAMOUREUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
169 SMUTTY LN, SACO, ME 04072-9718
(207) 540-0918
Mailing address
169 SMUTTY LN, SACO, ME 04072-9718
(207) 540-0918
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC16413
ME
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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