NPI | 1467599969 |
---|---|
Former Name | MARY DUGGAN REDSTONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: ME LC2796) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC2796) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2011-03-23 |