Individual
MRS. KIMM MARIE COONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
25 PLEASANT ST, SKOWHEGAN, ME 04976-1229
(207) 474-6115
Mailing address
37 BENNETT AVE, SKOWHEGAN, ME 04976-1213
(207) 474-0401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC9996
ME
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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