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Individual

MOLLY TARR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15 SAUNDERS WAY, WESTBROOK, ME 04092-4833
(207) 878-9663
Mailing address
15 SAUNDERS WAY, WESTBROOK, ME 04092-4833
(207) 878-9663

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC16244
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1366786410
ME
Enumeration date
09/19/2016
Last updated
09/19/2016
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