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Individual

KYLE ELSEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
35 WESTMINSTER ST, LEWISTON, ME 04240-3531
(207) 783-0068
Mailing address
35 WESTMINSTER ST, LEWISTON, ME 04240-3531
(207) 783-0068

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801098134
MI

Other

Enumeration date
04/19/2018
Last updated
04/19/2018
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