Individual
KARA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
40 SUMMER ST, BANGOR, ME 04401-6446
(207) 945-4240
Mailing address
38 PURKIS RD, BUCKFIELD, ME 04220-4003
(207) 570-7193
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC11113
ME
Other
Enumeration date
07/18/2007
Last updated
01/04/2010
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