Individual
JUDITH C. MIGNOGNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 NORTHEAST RD, STE. 2-4, STANDISH, ME 04084-6472
(207) 210-7638
(201) 939-3132
Mailing address
1 NORTHEAST RD, STE. 2-4, STANDISH, ME 04084-6472
(207) 210-7638
(201) 939-3132
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11234
ME
Other
Enumeration date
10/15/2009
Last updated
01/13/2010
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