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Individual

SUELLEN R WORLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LADC

Contact information

Practice address
820 MAIN ST, SUITE 3, WESTBROOK, ME 04092-3430
(207) 653-2832
Mailing address
820 MAIN ST, SUITE 3, WESTBROOK, ME 04092-3430

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC4552
ME
1041C0700X
Clinical Social Worker
Primary
LC11189
ME

Other

Enumeration date
09/13/2007
Last updated
04/02/2014
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