Individual
ARLENE MARIE WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
169 SOUTH RD, READFIELD, ME 04355-3340
(207) 530-1537
Mailing address
64 N CLARY RD, JEFFERSON, ME 04348-4062
(207) 549-4282
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
60251
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2173383600010
LLC NUMBER STATE OF MAINE
ME
01
—
217338600010
LIMITED LIABILITY CORPORATION NUMBER
ME
Enumeration date
07/16/2019
Last updated
07/16/2019
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