Organization
BETHANY PETERSON, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY PETERSON (OWNER / LCSW)
(207) 651-5880
Entity
Organization
Contact information
Practice address
647 US-1, SUITE 302, YORK, ME 03909
(207) 651-5880
Mailing address
PO BOX 740, YORK, ME 03909-0740
(207) 651-5880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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