Individual
CANDANCE KINGSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
10 BOWERS ST, SOUTH PORTLAND, ME 04106-3907
(207) 767-0920
Mailing address
10 BOWERS ST, SOUTH PORTLAND, ME 04106-3907
(207) 767-0920
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC1042
ME
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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