Individual
MEGAN WENCKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
887 CONGRESS ST, PORTLAND, ME 04102-3100
(207) 662-5522
Mailing address
887 CONGRESS ST, PORTLAND, ME 04102-3100
(207) 662-5522
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC17951
ME
Other
Enumeration date
01/19/2017
Last updated
08/25/2022
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