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Individual

KAYLA CL MICHAUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
88 FOX ST, MADAWASKA, ME 04756
(207) 728-6727
(207) 728-7679
Mailing address
180 ACADEMY ST STE 3, PRESQUE ISLE, ME 04769-3183
(207) 554-2352
(207) 554-2351

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
MC17407
ME
1041C0700X
Clinical Social Worker
Primary
LC19264
ME

Other

Enumeration date
03/13/2015
Last updated
02/02/2021
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