Individual
MR. TIMOTHY MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
32 N HIGH ST, BRIDGTON, ME 04009-1125
(207) 647-5629
Mailing address
32 NORTH HIGH STREET, PO BOX 170, BRIDGTON, ME 04040
(207) 647-5629
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC7508
ME
Other
Enumeration date
10/31/2005
Last updated
07/08/2007
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