Individual
KIELY LYNN FOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, LCSW
Contact information
Practice address
123 ANDOVER RD, WESTBROOK, ME 04092-3848
(207) 761-2200
(207) 761-2108
Mailing address
78 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 661-6654
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LC12249
ME
163W00000X
Registered Nurse
RN58534
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP121041
ME
Other
Enumeration date
01/08/2010
Last updated
06/22/2016
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