Individual
KRISTEL LYNN SAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15 STRAWBERRY AVE, LEWISTON, ME 04240-5941
(207) 777-7740
(207) 777-7748
Mailing address
15 STRAWBERRY AVE, LEWISTON, ME 04240-5941
(207) 777-7740
(207) 777-7748
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSX12912
ME
1041C0700X
Clinical Social Worker
Primary
LC17993
ME
Other
Enumeration date
09/26/2011
Last updated
02/03/2021
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