Robert Bennett, LCSW Valid NPI
Individual provider · Clinical Social Worker · Portland, ME
- NPI
- 1316772155
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- LC23946 (ME)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2024-09-03
- Last updated
- 2024-09-03
Practice location
193 Clark St Apt 2
Portland, ME 04102-3834
(207) 252-2124