Individual
KIM KELSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
192 YORK ST, YORK, ME 03909-1021
(207) 363-3422
Mailing address
768 MAIN ST, ELIOT, ME 03903-1850
(207) 439-8609
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC7728
ME
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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