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Individual

BETHANY WORSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
1092A DOUTY HILL ROAD, SANGERVILLE, ME 04479
(207) 564-3115
(207) 564-0019
Mailing address
PO BOX 326, DOVER FOXCROFT, ME 04426-0326
(207) 564-3115
(207) 564-0019

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ST1689
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
432032999
MAINECARE
ME
Enumeration date
07/15/2009
Last updated
07/15/2009
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