Individual
KELLY MARIE PARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADC
Contact information
Practice address
123 ANDOVER RD, WESTBROOK, ME 04092-3848
(207) 661-6174
(207) 661-6322
Mailing address
123 ANDOVER RD, WESTBROOK, ME 04092-3848
(207) 661-6174
(207) 661-6322
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC17427
ME
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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