Kathryn Kellison, LCSW

NPI #1265566244 in Augusta, Maine

Provider Information

NPI Number
1265566244
Entity Type
Individual
Name
Kathryn Kellison, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Mar 14, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
74 WINTHROP ST
State
Maine
ZIP Code
04330-5544
Phone
(207) 622-4774

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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