Individual
WENDY WEISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
62 PORTLAND RD STE 42, KENNEBUNK, ME 04043-6650
(207) 475-7798
Mailing address
PO BOX 236, YORK HARBOR, ME 03911-0236
(207) 475-7798
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC14946
ME
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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