Individual
MS. MARGERY BOODY PATTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
95 INDIA ST, STE 5, PORTLAND, ME 04101-4250
(207) 775-0155
Mailing address
95 INDIA ST, STE 5, PORTLAND, ME 04101-4250
(207) 775-0155
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC571
ME
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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