Individual
MICHELLE BEDNARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5 BUCKNAM RD, FALMOUTH, ME 04105
(207) 781-1814
Mailing address
39 WALLACE AVE., SO. PORTLAND, ME 04106
(207) 761-0650
(207) 761-8198
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC540
ME
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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