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Individual

KAELEN J LANDFAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW CONDITIONAL

Contact information

Practice address
25A JUNE ST, SANFORD, ME 04073-2642
(207) 324-1500
(207) 282-7509
Mailing address
25A JUNE ST, SANFORD, ME 04073-2642
(207) 324-1500
(207) 282-7509

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC10227
ME

Other

Enumeration date
08/12/2006
Last updated
07/16/2007
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