Kevin Garner Sample, LCSW, LADC

NPI #1740622836 in Eastport, Maine

Provider Information

NPI Number
1740622836
Entity Type
Individual
Name
Kevin Garner Sample, LCSW, LADC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW, LADC
Enumeration Date
Jul 18, 2013
Last Updated
Jul 1, 2019

Practice Location

Address
EASTPORT HEALTH CARE
Address 2
30 BOYNTON STREET
State
Maine
ZIP Code
04631
Phone
(207) 853-0185

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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