Individual
KATHRYN M VANDERMAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
17 MALLISON FALLS RD, WINDHAM, ME 04062-4101
(207) 893-7000
Mailing address
9 CODMAN ST, PORTLAND, ME 04103-4527
(303) 817-7901
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC25144
ME
Other
Enumeration date
08/22/2025
Last updated
09/02/2025
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