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Individual

KRISTIN PAULINE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
110 MAIN ST STE 1220, SACO, ME 04072-3516
(207) 283-0587
(207) 283-2850
Mailing address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1200
(207) 871-1232

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LS8370
ME

Other

Enumeration date
04/18/2007
Last updated
07/08/2007
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