Individual
KATE GEOGHEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
71 US ROUTE 1 STE E, SCARBOROUGH, ME 04074-7168
(207) 773-9931
Mailing address
71 US ROUTE 1 STE E, SCARBOROUGH, ME 04074-7168
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
XL6529
ME
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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