Individual
KELLY GAGLIARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 BOULDER DR APT 14H, ORONO, ME 04473-4681
(207) 341-4043
Mailing address
41 BOULDER DR APT 14H, ORONO, ME 04473-4681
(207) 341-4043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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