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1326172958
THERESA L BENNETT
PORTLAND, ME
NPI
1326172958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC4858)
Enumeration Date
2007-03-15
Last Update Date
2017-04-27
Business Address
-- THERESA L BENNETT LCSW
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-2911
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Mailing Address
-- THERESA L BENNETT LCSW
190 RIVERSIDE ST SUITE 6B
PORTLAND, ME 04103-1073
Phone number: 207-661-2000
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