Individual
MS. MARY BETH LEONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
53 SCHOODIC DR, BELFAST, ME 04915-7246
(207) 338-6900
(207) 338-4976
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC1210
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232690099
—
ME
Enumeration date
10/26/2006
Last updated
08/14/2014
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