Individual
GWEN ENID OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
235 MAIN ST, BIDDEFORD, ME 04005-2411
(207) 283-7660
(207) 283-7664
Mailing address
235 MAIN ST, BIDDEFORD, ME 04005-2411
(207) 283-7660
(207) 283-7664
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
113175
MA
1041C0700X
Clinical Social Worker
LC10129
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376708941
—
MA
Enumeration date
07/23/2008
Last updated
03/23/2026
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