Individual
KELLY HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
40 SUMMER ST, BANGOR, ME 04401-7144
(207) 945-4240
Mailing address
40 SUMMER ST, BANGOR, ME 04401-7144
(207) 945-4240
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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