Individual
GWENDOLYN HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
350 CAPISIC ST, PORTLAND, ME 04102-1710
(207) 590-7921
Mailing address
350 CAPISIC ST, PORTLAND, ME 04102-1710
(207) 590-7921
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC20574
ME
Other
Enumeration date
10/28/2013
Last updated
11/14/2025
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