Individual
MARY HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
314 CUMBERLAND ST, RUMFORD, ME 04276-1707
(207) 364-4886
Mailing address
314 CUMBERLAND ST, RUMFORD, ME 04276-1707
(207) 364-4886
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC10707
ME
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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