Individual
JESSICA KUNDRATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 ALDEN AVE, AUGUSTA, ME 04330-6185
(207) 626-3497
(207) 621-6211
Mailing address
1 ALDEN AVE, AUGUSTA, ME 04330-6185
(207) 626-3497
(207) 621-6211
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC17320
ME
Other
Enumeration date
10/03/2016
Last updated
02/03/2019
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