MRS. Sandra Emily Couch Kelly, LCSW

NPI #1164573747 in Westbrook, Maine

Provider Information

NPI Number: 1164573747
Entity Type: Individual
Name: MRS. Sandra Emily Couch Kelly, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jan 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 410 BRIDGE ST
Address 2: CONGIN SCHOOL
City: Westbrook
State: Maine
ZIP Code: 04092-3185
Phone: (207) 854-0844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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