Individual
MOLLY ANNE HANNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2693
(207) 221-4516
Mailing address
95 E COMMONWEALTH DR, PORTLAND, ME 04103-1224
(207) 650-5839
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
01/21/2025
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