| Bethany Peterson, Lcsw | |
|
647 Us-1 Suite 302 York ME 03909 | |
| (207) 651-5880 | |
| Not Available |
| Full Name | Bethany Peterson, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 647 Us-1, York, Maine |
| Authorized Official Name and Position | Bethany Peterson (OWNER / LCSW) |
| Authorized Official Contact | 2076515880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Peterson, Lcsw Po Box 740 York ME 03909-0740 Ph: (207) 651-5880 | Bethany Peterson, Lcsw 647 Us-1 Suite 302 York ME 03909 Ph: (207) 651-5880 |
| NPI Number | 1891539383 |
|---|---|
| Provider Enumeration Date | 06/20/2024 |
| Last Update Date | 06/20/2024 |
| Certification Date | 06/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891539383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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