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Individual

DANA A KENISTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
97 MCLAIN RD, LIBERTY, ME 04949-3715
(207) 462-2264
Mailing address
97 MCLAIN RD, LIBERTY, ME 04949-3715
(207) 462-2264

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC14269
ME

Other

Enumeration date
07/20/2011
Last updated
03/06/2024
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