Individual
MARY ELIZABETH MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
110 MAIN ST, SACO, ME 04072-3509
(800) 434-3000
Mailing address
45 SUMMER ST UNIT 3, KENNEBUNK, ME 04043-6636
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC3106
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432476199
—
ME
Enumeration date
03/19/2007
Last updated
07/08/2007
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