Organization
GROWING WILD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA TITCOMB RD (OWNER AND REGISTERED DIETITIAN)
(773) 474-9630
Entity
Organization
Contact information
Practice address
194 MAIN ST STE 104, ELLSWORTH, ME 04605-1939
(207) 813-4792
Mailing address
194 MAIN ST STE 104, ELLSWORTH, ME 04605-1939
(207) 813-4792
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
04/06/2025
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