| Kim Davis Lcsw Llc | |
|
62 Portland Rd Ste 25a Kennebunk ME 04043-6650 | |
| (207) 650-9919 | |
| Not Available |
| Full Name | Kim Davis Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 62 Portland Rd Ste 25a, Kennebunk, Maine |
| Authorized Official Name and Position | Kimberly Davis (OWNER) |
| Authorized Official Contact | 2076509919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Davis Lcsw Llc 62 Portland Rd Ste 25a Kennebunk ME 04043-6650 Ph: (207) 650-9919 | Kim Davis Lcsw Llc 62 Portland Rd Ste 25a Kennebunk ME 04043-6650 Ph: (207) 650-9919 |
| NPI Number | 1962281394 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 11/13/2023 |
| Certification Date | 11/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962281394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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