Individual
TERRI L WENTWORTH-BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
50 MOODY ST, SACO, ME 04072-1536
(800) 434-3000
Mailing address
5 PADDY CREEK HILL RD, KENNEBUNKPORT, ME 04046-6717
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11470
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264650099
—
ME
Enumeration date
02/06/2008
Last updated
10/07/2013
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