Individual
MS. KATHLEEN GRONDIN ST. JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
19 COMMON ST, SACO, ME 04072-3302
(207) 504-1060
(866) 904-9845
Mailing address
PO BOX 1728, SACO, ME 04072-7728
(207) 504-1060
(866) 904-9845
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5296
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740322155
—
ME
Enumeration date
02/13/2007
Last updated
02/18/2016
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