Individual
KIMBERLY D BRONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW,CCS
Contact information
Practice address
175 FORE RIVER PKWY, PORTLAND, ME 04102-2779
(207) 879-3625
Mailing address
175 FORE RIVER PKWY, PORTLAND, ME 04102-2779
(207) 879-3625
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC11380
ME
Other
Enumeration date
01/13/2010
Last updated
08/12/2022
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