Individual
MS. SARAH E. KELSIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7 OAK HILL TERRACE, SUITE 10, SCARBOROUGH, ME 04074
(207) 332-3177
(207) 878-6150
Mailing address
74 RUSTIC LANE, PORTLAND, ME 04103
(207) 332-3177
(207) 878-6150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC6543
ME
1041C0700X
Clinical Social Worker
Primary
LC6543
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319470099
—
ME
Enumeration date
10/04/2006
Last updated
03/02/2010
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