Individual
KRISTINA BERNADETTE BURKS HALLIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2 LIVEWELL DR, CROSSROADS, KENNEBUNK, ME 04043
(207) 467-3369
Mailing address
7 MOOSE ROCKS RD, KENNEBUNKPORT, ME 04046-5260
(207) 641-9196
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
117060
MA
1041C0700X
Clinical Social Worker
Primary
LC13861
ME
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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