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Individual

MS. MARILYN MAHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW; LACD

Contact information

Practice address
27 MAPLEWOOD RD, LEWISTON, ME 04240-1626
(207) 783-2800
Mailing address
PO BOX 2130, LEWISTON, ME 04241-2130
(207) 783-2800

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC2645
ME
1041C0700X
Clinical Social Worker
Primary
LC6381
ME

Other

Enumeration date
08/04/2006
Last updated
09/11/2012
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