Individual
KELLY M ST CYR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-CC
Contact information
Practice address
1 FRONT ST, BATH, ME 04530-2492
(207) 442-8118
(207) 442-7692
Mailing address
375 MAIN ST, ROCKLAND, ME 04841-3304
(207) 596-0359
(207) 596-0350
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
XL4030
ME
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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