White, Mary
White, Mary is an individual health care provider with primary practice located at 92 Bennett Dr , Caribou ME 04736-1952. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. White, Mary can be contacted via phone (207) 493-5210.Contact Information
Primary practice address
92 Bennett Dr
Caribou ME 04736-1952
Phone: (207) 493-5210
Fax: (207) 493-5209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC5672 | Maine |
Profile Details
| NPI number | 1245345065 |
|---|---|
| LBN Legal business name | White, Mary |
| Credentials | MSW-LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Dec 18th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245345065 | NPPES |
| Maine | MEDICAID | 248890099 |
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