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Individual

MRS. SARAH SMITH KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
96 FALMOUTH ST, PORTLAND, ME 04103-4864
(207) 780-5639
Mailing address
96 FALMOUTH ST, PORTLAND, ME 04103-4864
(207) 780-5639

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC5026
ME

Other

Enumeration date
08/20/2019
Last updated
08/20/2019
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