Individual
MARY BETH L TWOMEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
50 DEERFIELD RD, PORTLAND, ME 04101-1807
(207) 712-3789
Mailing address
50 DEERFIELD RD., PORTLAND, ME 04101
(207) 712-3789
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC13035
ME
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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