Individual
KATHLEEN BENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11 NORTH ST APT 2, PORTLAND, ME 04101-2771
(207) 828-1785
Mailing address
11 NORTH ST APT 2, PORTLAND, ME 04101-2771
(207) 828-1785
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6875
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286690099
—
ME
01
—
RB9
ANTHEM
ME
Enumeration date
11/16/2006
Last updated
02/02/2010
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