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Individual

ROSAMOND KREILKAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
322 MAIN ST, BAR HARBOR, ME 04609-1648
(207) 288-8604
(207) 288-8602
Mailing address
11 RIPPLES RD, MOUNT DESERT, ME 04660-6120
(207) 244-9495

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
OT146
ME
1041C0700X
Clinical Social Worker
Primary
LC11709
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
338460099
ME
Enumeration date
05/30/2007
Last updated
03/06/2013
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