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Individual

ANGELA MCKENNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12 GEDNEY ST, AUGUSTA, ME 04330-4440
(207) 626-2464
Mailing address
83 PLEASANT HILL RD, AUGUSTA, ME 04330-8231
(207) 626-2464

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2738
ME

Other

Enumeration date
09/27/2013
Last updated
09/27/2013
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