Doctor Name: | MISS DEBRA J MCNALLY |
NPI Number: | 1700096203 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LC10907 |
Business Practice Address: | U.s. Route 202 Suite 1a East Winthrop, ME - 04343 |
Business Phone Number: | 2073952555 |
Business Fax Number: | 2073952560 |
Mailing Address: | 61 Second St, Apt. 2 HALLOWELL |
State: | ME |
Postal Code: | 043471488 |
Phone Number: | 2076233835 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC10907 |
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 |