Individual
KOURTNY FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 STONE ST STE 201, AUGUSTA, ME 04330-5209
(207) 719-8920
Mailing address
24 STONE ST STE 201, AUGUSTA, ME 04330-5209
(207) 719-8920
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC21672
ME
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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