Individual
DR. MARK MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 FUNDY RD STE 403, FALMOUTH, ME 04105-1775
(207) 590-2349
Mailing address
3 FUNDY RD STE 2, FALMOUTH, ME 04105-1796
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
09/14/2021
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