Individual
JULIE REVA KOMINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
191 S MAIN ST, BREWER, ME 04412-2233
(207) 745-1492
Mailing address
191 S MAIN ST STE 5, BREWER, ME 04412-2233
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC18199
ME
1041C0700X
Clinical Social Worker
MC18199
ME
Other
Enumeration date
10/16/2020
Last updated
01/19/2021
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