Individual
SUELLEN R WORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LADC
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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