Individual
MINA ALEXANDRIA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
1604 BENTON AVE, BENTON, ME 04901-3334
(207) 453-4708
Mailing address
107 MAIN ST APT 4, SKOWHEGAN, ME 04976-1149
(207) 399-9289
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC23705
ME
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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