Individual
KELLEY BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
474 MAIN ST, SPRINGVALE, ME 04083-1409
(207) 324-1500
(207) 490-5263
Mailing address
474 MAIN ST, SPRINGVALE, ME 04083-1409
(207) 324-1500
(207) 490-5263
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC9733
ME
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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