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Individual

ELLEN M. SHERWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
194 MAIN ST, SUITE 4, ELLSWORTH, ME 04605-1939
(207) 460-3408
(207) 669-6300
Mailing address
4 FIELD WAY, ELLSWORTH, ME 04605
(207) 664-7594

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC2178
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
303580099
ME
Enumeration date
04/12/2007
Last updated
04/26/2014
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