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Individual

MRS. KRISTEN KATHLEEN BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSWCC

Contact information

Practice address
201 MAIN ST, SUITE 6, WESTBROOK, ME 04092-4761
(207) 210-3931
(207) 887-7130
Mailing address
201 MAIN ST, SUITE 6, WESTBROOK, ME 04092-4761
(207) 210-3930
(208) 887-7130

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12686
ME

Other

Enumeration date
10/29/2010
Last updated
10/29/2010
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