Individual
GRACE KITTREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 BARRA RD, BIDDEFORD, ME 04005-9459
(207) 283-1441
Mailing address
688 POOL ST, BIDDEFORD, ME 04005-9559
(207) 423-3569
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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