Individual
WHITNEY BEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39 MECHANIC ST, WESTBROOK, ME 04092-2855
(207) 591-0634
Mailing address
39 MECHANIC ST, WESTBROOK, ME 04092-2855
(207) 591-0634
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4399
ME
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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