Individual
MS. KIMBERLY JO PLOURDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12 ADDISON ST, LISBON FALLS, ME 04252-1731
(207) 740-0835
(207) 353-1628
Mailing address
12 ADDISON ST, LISBON FALLS, ME 04252-1731
(207) 740-0835
(207) 353-1628
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11517
ME
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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