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Individual

KATHLEEN KOSNOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
510 CUMBERLAND AVE, PORTLAND, ME 04101-2220
(207) 553-5800
(207) 874-1155
Mailing address
510 CUMBERLAND AVE, PORTLAND, ME 04101-2220
(207) 553-5800
(207) 874-1155

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC1717
ME

Other

Enumeration date
10/07/2010
Last updated
10/07/2010
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