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Individual

MS. MARY ANDREA HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW, LCSW

Contact information

Practice address
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938-6144
(207) 778-0482
Mailing address
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938-6144
(207) 778-0482

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
110511
MA
1041C0700X
Clinical Social Worker
Primary
LICSW110511
MA

Other

Enumeration date
07/17/2007
Last updated
03/13/2021
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