Individual
MRS. KELLY ELIZABETH GAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CADC,
Contact information
Practice address
71 US ROUTE 1 STE E, SCARBOROUGH, ME 04074-7194
(207) 885-0168
Mailing address
71 US ROUTE 1 STE E, SCARBOROUGH, ME 04074-7194
(207) 885-0168
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC6504
ME
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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