Individual
BETHANY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
647 US ROUTE 1 STE 302, YORK, ME 03909-1689
(207) 651-5880
Mailing address
59 OAK LN, WELLS, ME 04090-7023
(207) 651-5880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC17411
ME
Other
Enumeration date
07/09/2015
Last updated
12/04/2023
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