BENJAMIN TIERNEY-TREVOR, LCSW

Social Worker - Clinical

Active Individual
NPI: 1437290202

Practice Address

501 DANFORTH STREET
Portland, ME 40101

Phone: (207) 294-4400

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes LC11115 (ME)

Frequently Asked Questions

NPI 1437290202 is the National Provider Identifier for BENJAMIN TIERNEY-TREVOR, LCSW, a Social Worker - Clinical provider located in Portland, ME. This NPI was enumerated on February 12, 2007.
BENJAMIN TIERNEY-TREVOR, LCSW practices at 501 DANFORTH STREET, Portland, ME 40101.

Quick Facts

NPI
1437290202
Type
Individual
Enumerated
Feb 12, 2007
Last Updated
Jul 8, 2007

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