Individual
MARY PATRICIA DUGGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., L.C.S.W.
Contact information
Practice address
12 BERKELEY ST, PORTLAND, ME 04103-3117
(207) 541-9004
Mailing address
12 BERKELEY ST, PORTLAND, ME 04103-3117
(207) 541-9004
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC2796
ME
1041C0700X
Clinical Social Worker
LC2796
ME
Other
Enumeration date
01/31/2007
Last updated
03/23/2011
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