Individual
MARY H ROCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW-LICSW
Contact information
Practice address
70 VEAZIE RD., SWANVILLE, ME 04915-4580
(207) 307-0328
Mailing address
70 VEAZIE RD., SWANVILLE, ME 04915-4580
(207) 307-0328
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1015404
MA
1041C0700X
Clinical Social Worker
1015404-SW-LICSW
MA
Other
Enumeration date
09/01/2018
Last updated
09/01/2018
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