Individual
MRS. MARY ELIZABETH HILL-CICCONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
42 MAIN ST APT R2, GORHAM, ME 04038-1363
(207) 615-6464
Mailing address
42 MAIN ST APT R2, GORHAM, ME 04038-1363
(207) 615-6464
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT5611
ME
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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