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Individual

BETH ELLEN MACDONALD FAWCETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
251 US ROUTE 1, STE W7, FALMOUTH, ME 04105
(207) 899-8012
(207) 856-2861
Mailing address
152 OSSIPEE TRAIL EAST, STANDISH, ME 04084
(207) 899-8012
(207) 871-1232

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC13653
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1477800159
ME
Enumeration date
08/13/2012
Last updated
05/05/2026
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