ELLISHA ELLEN KRUTULESKI

PORTLAND, ME
NPI1689011926
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  LC15433)
Enumeration Date2013-05-28
Last Update Date2015-10-22
Business Address
-- ELLISHA ELLEN KRUTULESKI LCSW
836 WASHINGTON AVE
PORTLAND, ME 04103-2740
Phone number: 207-939-2127
Mailing Address
-- ELLISHA ELLEN KRUTULESKI LCSW
PO BOX 44
WEST KENNEBUNK, ME 04094-0044
Phone number: 207-939-2127
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