Individual
BETHANY MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
15 STRAWBERRY AVE, LEWISTON, ME 04240-5941
(207) 777-7740
Mailing address
15 STRAWBERRY AVE, LEWISTON, ME 04240-5941
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LS11369
ME
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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