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1477800159
BETH ELLEN FAWCETT
WESTBROOK, ME
NPI
1477800159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME MC13653)
Enumeration Date
2012-08-13
Last Update Date
2012-08-13
Business Address
-- BETH ELLEN FAWCETT LMSW-cc
50 PARK RD SUITE 4
WESTBROOK, ME 04092-3176
Phone number: 207-856-0082
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Mailing Address
-- BETH ELLEN FAWCETT LMSW-cc
899 RIVERSIDE ST
PORTLAND, ME 04103-1070
Phone number: 207-871-1211
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