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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STANLEY O PETTEGROW, LCSW

Active

STANLEY O PETTEGROW, LCSW is a Clinical Social Worker healthcare provider located in OLD TOWN, Maine. NPI 1487674859 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · OLD TOWN, ME

Registration Details

NPI Number
1487674859
Provider Type
Individual
Gender
Male
NPI Issued
Jul 20, 2006 (20.042116677348 yrs)
Last Updated
May 5, 2021
License
LC11074 (ME)

Practice Information

Address
242 BRUNSWICK ST
OLD TOWN, ME, 044681613
Browse ME providers · Browse ZIP 04468
Phone
2078276128
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in OLD TOWN, ME

Name Credential NPI
TERRY L MELANSON LCSW 1629173901
FRANK N MCKNIGHT LCSW 1457639452
CHRISTINE ANN CRITTENDEN RICHARD LCSW 1013343813
AMANDA BRAGG LCSW 1578220166
EMMA APRIL RICHFORD 1699575951
ABIGAIL ZIER 1649073024
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.