Individual
MS. MARY GRAY PITKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
27 RIVER RD, NEWCASTLE, ME 04553-3845
(207) 563-5388
Mailing address
PO BOX 1055, DAMARISCOTTA, ME 04543-1055
(207) 563-5388
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC2134
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048031
ANTHEM BLUE CROSS
ME
01
—
489
PROTEA #
ME
Enumeration date
03/21/2007
Last updated
07/08/2007
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