Individual
VIRGINIA SAMEL MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 CAMPUS AVE, SUITES A & B, LEWISTON, ME 04240-6040
(207) 755-3434
(207) 784-6826
Mailing address
PO BOX 10187, ALBANY, NY 12201-5187
(207) 777-4111
(207) 783-6660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6974
ME
Other
Enumeration date
01/26/2007
Last updated
11/25/2013
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