Organization
KENDALL COMMUNITY CASE MANAGEMENT AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA KENDALL LSW (OWNER/ADMINISTRATOR)
(207) 853-4245
Entity
Organization
Contact information
Practice address
64 WATER ST, BERMAN MALL SUITE 3, EASTPORT, ME 04631-1329
(207) 853-0963
(207) 853-0694
Mailing address
PO BOX 185, BERMAN MALL SUITE 3 64 WATER ST, EASTPORT, ME 04631-0185
(207) 853-0693
(207) 853-0694
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
G9012 HI
ME
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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