Individual
KANDI ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
81 MAIN ST, HARRINGTON, ME 04643-3000
(207) 483-4502
(207) 483-4778
Mailing address
PO BOX 82, HARRINGTON, ME 04643-0082
(207) 483-4502
(207) 483-4778
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC9905
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297830099
—
ME
Enumeration date
11/29/2006
Last updated
07/08/2007
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