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Individual

KATHERINE C HALLISSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
100 FODEN RD, SOUTH PORTLAND, ME 04106-2327
(207) 523-3798
Mailing address
100 GANNETT DR STE C, SOUTH PORTLAND, ME 04106-5900
(207) 347-2947
(207) 874-2317

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LC20894
ME
1041C0700X
Clinical Social Worker
Primary
LC20894
ME

Other

Enumeration date
12/18/2019
Last updated
03/04/2026
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