Individual
THERESA MCCARTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 SPRINGER DR STE 202, BANGOR, ME 04401-3655
(207) 992-2535
Mailing address
24 SPRINGER DR STE 202, BANGOR, ME 04401-3655
(207) 992-2535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC14088
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
435945499
PROVIDER ENROLLMENT
ME
Enumeration date
08/25/2010
Last updated
07/11/2013
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