Individual
KENDRA GOLDRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 LOUISE AVE, WATERVILLE, ME 04901-5050
(207) 314-8360
Mailing address
11 LOUISE AVE, WATERVILLE, ME 04901-5050
(207) 314-8360
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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