Individual
AMY R WENTWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
25 JUNE ST, SANFORD, ME 04073-2621
(207) 221-6276
Mailing address
439 US ROUTE 1 STE A, YORK, ME 03909-1638
(207) 221-6276
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL7929
ME
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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