Individual
MARY MARGARET MENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
605 ROUTE ONE, SUITE 4, SCARBOROUGH, ME 04070-6305
(207) 885-1060
(207) 885-1061
Mailing address
PO BOX 6305, 605 ROUTE ONE SUITE 4, SCARBOROUGH, ME 04070-6305
(207) 885-1060
(207) 885-1061
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0766AD
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC1585
ME
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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