Individual
MAKENZIE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 CONGRESS ST, RUMFORD, ME 04276-2035
(207) 364-3549
Mailing address
150 CONGRESS ST, RUMFORD, ME 04276-2035
(207) 364-3549
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMC17325
ME
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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