Individual
MR. JOHN DAVID KIDNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
10 MARKET STREET, SUITE 205, SCARBOROUGH, ME 04074
(603) 883-0005
Mailing address
10 MARKET STREET, SUITE 205, SCARBOROUGH, ME 04074
(603) 883-0005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC23938
ME
Other
Enumeration date
08/30/2022
Last updated
06/02/2025
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