Individual
MRS. DARLENE MARIE KENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 EAST ST, BANGOR, ME 04401-5802
(207) 947-6523
Mailing address
21 EAST ST, BANGOR, ME 04401-5802
(207) 947-6523
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
ME
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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