Individual
WYNNE M CUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
39 MAIN ST, NORWAY, ME 04268-5501
(207) 739-7001
Mailing address
39 MAIN ST, NORWAY, ME 04268-5501
(207) 504-3234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC21073
ME
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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