Individual
MARY A GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
306 RODMAN RD, AUBURN, ME 04210-3830
(207) 333-3278
Mailing address
PO BOX 1150, AUBURN, ME 04211-1150
(207) 333-3278
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF3387
ME
Other
Enumeration date
09/22/2010
Last updated
07/25/2011
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