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1265566244
KATHRYN KELLISON
AUGUSTA, ME
NPI
1265566244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ME LC2584)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
KATHRYN KELLISON LCSW
74 WINTHROP ST
AUGUSTA, ME 04330-5544
Phone number: 207-622-4774
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Mailing Address
KATHRYN KELLISON LCSW
74 WINTHROP ST
AUGUSTA, ME 04330-5544
Phone number: 207-622-4774
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