Individual
MS. KRISTEN AMY POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
73 PITT ST, PORTLAND, ME 04103-4825
(207) 838-1705
Mailing address
73 PITT ST, PORTLAND, ME 04103-4825
(207) 838-1705
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC10128
ME
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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