Individual
MS. MARY STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
110 WILDERNESS LN, BOWDOINHAM, ME 04008-6059
(781) 864-9966
Mailing address
110 WILDERNESS LN, BOWDOINHAM, ME 04008-6059
(207) 209-3123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MC18106
ME
1041C0700X
Clinical Social Worker
Primary
LC20160
ME
1041C0700X
Clinical Social Worker
LCSW118338
CA
Other
Enumeration date
03/22/2020
Last updated
07/11/2024
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