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Individual

BRENDA WENTWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
6 STODDARD LN, HALLOWELL, ME 04347-1429
(207) 557-1870
Mailing address
243 MOOAR HILL RD, MOUNT VERNON, ME 04352-3231
(207) 557-1870

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1185
CO
1041C0700X
Clinical Social Worker
Primary
LC3531
ME

Other

Enumeration date
03/25/2009
Last updated
11/29/2022
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