Individual
MARK D. KMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2 BIG SKY LN, WATERVILLE, ME 04901-4340
(800) 434-3000
Mailing address
2 BIG SKY LN, WATERVILLE, ME 04901-4340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC7222
ME
Other
Enumeration date
05/11/2007
Last updated
03/20/2019
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