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Organization
EDGE OF CHANGE, LLC
Active
Organization
EDGE OF CHANGE, LLC
Active
Other names
Sara Fenwick
Organization subpart
No
Provider details
NPI number
Authorized official
SARA FENWICK LCPC (OWNER)
(207) 592-9166
Entity
Organization
Contact information
Practice address
116 STATE ST STE 203, AUGUSTA, ME 04330-5632
(207) 592-9166
Mailing address
116 STATE ST STE 203, AUGUSTA, ME 04330-5632
(207) 592-9166
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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