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Kimberly Austin, lcsw

Social Worker in Portland, ME. Individual provider (NPI-1).

NPI number1588677603
StatusActive
Last updated in NPPESApr 23, 2013

Details

NPI
1588677603
Entity type
Individual (NPI-1)
Name
Kimberly Austin
Credential
lcsw
Sex
Female
Sole proprietor
No
Enumeration date
Aug 14, 2006
Last updated
Apr 23, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Workerlc10159MEYes
101Y00000X Counselorlc10159ME
101YM0800X Counselor, Mental Healthlc10159ME
106H00000X Marriage & Family Therapistlc10159ME

Practice location

343 Forest Ave
Portland, ME 04101-2006

Phone 207-874-1030 · Fax 207-874-1044

Mailing address

343 Forest Ave
Portland, ME 04101-2006

Phone 207-874-1030 · Fax 207-874-1044

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