1891971545

Everything you always wanted to know about BENNETT C JEAN LCSW but were afraid to ask.

BENNETT C JEAN LCSW

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Provider Last Name Provider Middle Name Provider First Name Provider Credential
BENNETT C JEAN LCSW
Gender:
Female
Enumeration date:
2008-01-11
Last update date:
2008-01-11
Current as of:
2007-08-28
Is sole proprietor?:
Yes
Is organization subpart?:
Not Answered
In PECOS?:
No
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Identifiers

identifier description issuer state active

Taxonomies

Taxonomy State License Number Primary?
1041C0700X Clinical ME 1005

Phone Numbers

Type Number
Mailing Address Telephone Number 2077735057
Practice Location Address Telephone Number 2077735057

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 8226 PORTLAND ME 4104 ME
Practice Location Address 56 WILLIAM ST PORTLAND ME 4103 ME

Other NPI Records that share an address

NPI Name Address State City
1073646071 SLOVEN, JANE
Individual
56 WILLIAM ST ME PORTLAND
1487671137 ASH TANCREDI, SHARON
Individual
56 WILLIAM ST ME PORTLAND
1588964720 MARSTERS, REGINA
Individual
56 WILLIAM ST ME PORTLAND
1689785511 ALVORD, CHERYL
Individual
56 WILLIAM ST ME PORTLAND