Individual
MARGO KENDRICK MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
314 ALFRED ST, BIDDEFORD, ME 04005-3102
(207) 370-5389
Mailing address
314 ALFRED ST, BIDDEFORD, ME 04005-3102
(207) 894-0450
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MC19373
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC19373
STATE OF MAINE
ME
Enumeration date
02/25/2021
Last updated
02/25/2021
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