Organization
KAYLA B OUELLETTE, LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAYLA BROOKE OUELLETTELCSW LCSW (CLINICAL SOCIAL WORKER)
(207) 713-9123
Entity
Organization
Contact information
Practice address
110 MAIN ST STE 1103, SACO, ME 04072-3516
(207) 713-9123
Mailing address
8 OLD BUXTON RD, SACO, ME 04072-9553
(207) 713-9123
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/24/2023
Last updated
11/24/2023
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