Organization
ETHIER-BENNETT LCSW, LLC
Active
Other names
Ethier-Bennett LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW ETHIER (ADMINISTRATOR)
(207) 252-2124
Entity
Organization
Contact information
Practice address
193 CLARK ST APT 2, PORTLAND, ME 04102-3834
(207) 252-2124
Mailing address
193 CLARK ST APT 2, PORTLAND, ME 04102-3834
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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