Individual
MAURA BANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
277 PLEASANT HILL RD, BRUNSWICK, ME 04011-7453
(207) 712-1002
Mailing address
277 PLEASANT HILL RD, BRUNSWICK, ME 04011-7453
(207) 712-1002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11035
ME
Other
Enumeration date
10/06/2008
Last updated
12/05/2008
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