Individual
KIANA MARIE WOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
52 CHRISTIAN RIDGE RD, ELLSWORTH, ME 04605-3210
(207) 922-4600
Mailing address
52 CHRISTIAN RIDGE RD, ELLSWORTH, ME 04605-3210
(207) 922-4600
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC7299
ME
Other
Enumeration date
10/28/2021
Last updated
11/07/2023
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