Individual
PATRICIA WORSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 DEMERITT RD, WEST NEWFIELD, ME 04095-3427
(207) 793-4567
Mailing address
123 DEMERITT RD, WEST NEWFIELD, ME 04095-3427
(207) 793-4567
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202140000
—
ME
Enumeration date
12/11/2009
Last updated
05/08/2024
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