MRS. Mary C. Controvillas, L.C.S.W.

NPI #1649367046 in Bath, Maine

Provider Information

NPI Number
1649367046
Entity Type
Individual
Name
MRS. Mary C. Controvillas, L.C.S.W.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
L.C.S.W.
Enumeration Date
Oct 6, 2006
Last Updated
Jun 5, 2008

Practice Location

Address
1 LINCOLN ST
Address 2
#8
City
Bath
State
Maine
ZIP Code
04530-2100
Phone
(207) 449-3591

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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