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Individual

MRS. MARY THERESE BOHON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
9 OLIVE ST, SACO, ME 04072-1633
(207) 284-7991
(207) 284-7991
Mailing address
9 OLIVE ST, SACO, ME 04072-1633
(207) 284-7991
(207) 284-7991

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4446
ME

Other

Enumeration date
06/20/2006
Last updated
06/13/2019
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