Ethier-bennett Lcsw, Llc | |
193 Clark St Apt 2 Portland ME 04102-3834 | |
(207) 252-2124 | |
Not Available |
Full Name | Ethier-bennett Lcsw, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 193 Clark St Apt 2, Portland, Maine |
Authorized Official Name and Position | Andrew Ethier (ADMINISTRATOR) |
Authorized Official Contact | 2072522124 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ethier-bennett Lcsw, Llc 193 Clark St Apt 2 Portland ME 04102-3834 Ph: () - | Ethier-bennett Lcsw, Llc 193 Clark St Apt 2 Portland ME 04102-3834 Ph: (207) 252-2124 |
NPI Number | 1598592719 |
---|---|
Provider Enumeration Date | 09/19/2024 |
Last Update Date | 09/19/2024 |
Certification Date | 09/19/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598592719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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