Organization
KENNEBEC COMMUNITY INTEGRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN GOULD LSWX (OWNER)
(207) 649-7197
Entity
Organization
Contact information
Practice address
97 STONEY ACRES RD, PITTSTON, ME 04345-6641
(207) 649-7197
Mailing address
97 STONEY ACRES RD, PITTSTON, ME 04345-6641
(207) 649-7197
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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