Individual
STARLA KAYE GEANNIKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10 CUMBERLAND ST, BRUNSWICK, ME 04011-1932
(207) 319-3079
(207) 607-4015
Mailing address
10 CUMBERLAND ST, BRUNSWICK, ME 04011-1932
(207) 319-3079
(207) 607-4015
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC7505
ME
Other
Enumeration date
03/30/2006
Last updated
11/08/2011
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