Individual
LENOIR G KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW-CC
Contact information
Practice address
100 BRICKHILL AVE, SOUTH PORTLAND, ME 04106-1999
(207) 874-2141
(207) 874-2164
Mailing address
180 PARK AVE, PORTLAND, ME 04102-2957
(207) 874-2141
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC24806
ME
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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