Individual
KIM S COCCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 HOLYOKE AVE, RUMFORD, ME 04276-2227
(207) 418-4317
Mailing address
40 HOLYOKE AVE, RUMFORD, ME 04276-2227
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC19862
ME
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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