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1164573747
SANDRA EMILY COUCH KELLY
WESTBROOK, ME
NPI
1164573747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC6148)
Enumeration Date
2007-01-12
Last Update Date
2007-07-08
Business Address
Mrs. SANDRA EMILY COUCH KELLY LCSW
410 BRIDGE ST CONGIN SCHOOL
WESTBROOK, ME 04092-3185
Phone number: 207-854-0844
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Mailing Address
Mrs. SANDRA EMILY COUCH KELLY LCSW
13 NORTHLEDGE TER
FALMOUTH, ME 04105-2819
Phone number: 207-874-7994
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