Individual
WESLEY COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9 GREEN ST, AUGUSTA, ME 04330-7451
(207) 621-3790
Mailing address
9 GREEN ST, AUGUSTA, ME 04330-7451
(207) 621-3790
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC21663
ME
Other
Enumeration date
04/03/2023
Last updated
05/15/2023
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