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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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