| NPI | 1598592719 |
|---|---|
| Doing Business As | ETHIER-BENNETT LCSW |
| Entity Type | Organization |
| Authorized Contact | ANDREW ETHIER Administrator 207-252-2124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |