Individual
MALLORY PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
153 PARK ROW STE 103, BRUNSWICK, ME 04011-2053
(207) 504-3587
Mailing address
153 PARK ROW STE 103, BRUNSWICK, ME 04011-2053
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL6541
ME
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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