Individual
KATHRYN J KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
22 COTTAGE RD, SOUTH PORTLAND, ME 04106-3670
(207) 200-9936
(207) 387-0044
Mailing address
22 COTTAGE RD, SOUTH PORTLAND, ME 04106-3670
(207) 200-9936
(207) 387-0044
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC17961
ME
1041C0700X
Clinical Social Worker
MC16621
ME
Other
Enumeration date
10/26/2018
Last updated
01/25/2023
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