Individual
KATHLEEN GARVEY MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15 OAK ST, SPRINGVALE, ME 04083-1926
(207) 432-2539
Mailing address
7 POOL DR, WELLS, ME 04090-6415
(207) 351-0057
(207) 646-8058
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6538
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282750099
—
ME
Enumeration date
08/09/2006
Last updated
08/31/2021
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