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1588737761
MARY BENNETT
PORTLAND, ME
NPI
1588737761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC4230)
Enumeration Date
2006-11-16
Last Update Date
2007-07-09
Business Address
-- MARY BENNETT LCSW
17 BISHOP ST
PORTLAND, ME 04103-2659
Phone number: 207-871-1235
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Mailing Address
-- MARY BENNETT LCSW
899 RIVERSIDE ST
PORTLAND, ME 04103-1070
Phone number: 207-871-1200
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