Individual
KELSEY FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
132 MARGINAL WAY APT 356, PORTLAND, ME 04101-7420
(949) 584-9808
Mailing address
132 MARGINAL WAY APT 356, PORTLAND, ME 04101-7420
(949) 584-9808
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC20560
ME
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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