Individual
KIERSTEN MULCAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
22 FREE ST STE 402, PORTLAND, ME 04101-3900
(207) 358-3460
Mailing address
94 MORNING ST APT 2, PORTLAND, ME 04101-2069
(201) 264-1695
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC17455
ME
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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