Individual
DEENA DWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
470 FOREST AVE STE 202, PORTLAND, ME 04101-2009
(800) 308-7503
(207) 774-3540
Mailing address
470 FOREST AVE, SUITE #202, PORTLAND, ME 04101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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