Individual
RACHEL ELIZABETH BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
137 TOWNSEND AVE, BOOTHBAY HARBOR, ME 04538-1845
(207) 624-1342
Mailing address
PO BOX 95, BOOTHBAY HARBOR, ME 04538-0095
(207) 624-1342
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC10996
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431729599
—
ME
Enumeration date
08/09/2006
Last updated
09/27/2016
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