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Individual

MS. PATRICIA M WEYAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. LCPC

Contact information

Practice address
836 MAIN ST, WESTBROOK, ME 04092-2861
(207) 856-0090
(207) 856-0090
Mailing address
33 STORER ST, KENNEBUNK, ME 04043-6832
(207) 985-7140

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC1669
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
047762
ANTHEM BC/BS
ME
Enumeration date
09/05/2006
Last updated
07/08/2007
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