Mary Lou Staples, MA, LCMHC

NPI #1649338450 in Portsmouth, New Hampshire

Provider Information

NPI Number: 1649338450
Entity Type: Individual
Name: Mary Lou Staples, MA, LCMHC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: MA, LCMHC
Enumeration Date: Dec 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1145 SAGAMORE AVE
City: Portsmouth
State: New Hampshire
ZIP Code: 03801-5585
Phone: (603) 431-6703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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