Individual
MS. MARY ELLEN TENNANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 FRONT ST, BATH, ME 04530-2492
(207) 442-0473
Mailing address
1 FRONT ST, BATH, ME 04530-2492
(207) 442-0473
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC2585
ME
Other
Enumeration date
05/01/2007
Last updated
09/03/2020
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