Doctor Name: | MRS. VERENA MCGRAY |
NPI Number: | 1154666519 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MC13992 |
Business Practice Address: | 32 Spurwink Ln Cornville, ME - 049766257 |
Business Phone Number: | 2078580252 |
Business Fax Number: | 2078580276 |
Mailing Address: | 899 Riverside St, PORTLAND |
State: | ME |
Postal Code: | 041031070 |
Phone Number: | 2078711211 |
Fax Number: | 2078711232 |
NPI Enumeration Date: | 12/11/2012 |
NPI Last Update Date: | 12/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | MC13992 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |