Individual
MS. KATHLEEN WALDRON HAYWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
222 SAINT JOHN ST STE 141, PORTLAND, ME 04102-3055
(207) 373-8929
Mailing address
222 SAINT JOHN ST STE 141, PORTLAND, ME 04102-3055
(207) 400-7667
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL3991
ME
Other
Enumeration date
07/26/2012
Last updated
12/19/2012
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