Individual
MS. MARY C GILLIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
95 INDIA STREET, SUITE 2, PORTLAND, ME 04101
(207) 773-0207
(207) 773-6207
Mailing address
95 INDIA STREET, SUITE 2, PORTLAND, ME 04101
(207) 773-0207
(207) 773-6207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5043
ME
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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