Individual
JAMES R MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
193 MAIN ST, SUITE 9, NORWAY, ME 04268-5645
(207) 743-9292
(207) 743-1578
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4802
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237080099
—
ME
Enumeration date
03/27/2007
Last updated
03/27/2012
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