Karen A Kenneally LCSW

NPI 1740518877 - Social Worker - 1041C0700X

NPI Details
NPI 1740518877
Gender Female
Enumeration Date 12/01/2009
Last Updated 11/17/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
157 PARK ST
CORNERSTONE BEHAVIORAL HEALTHCARE
BANGOR ME, 04401-5093, US
Phone (207) 992-0410
Fax
Business Location
157 PARK ST
CORNERSTONE BEHAVIORAL HEALTHCARE
BANGOR ME, 04401-5093, US
Phone (207) 992-0410
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Maine
License Number MC11438
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According to our database, Karen A Kenneally LCSW NPI is 1740518877, taxonomy code is 1041C0700X and license number is MC11438, license state is located at Maine. Karen A Kenneally LCSW physically located at 157 Park St, Bangor ME, 04401-5093. NPI Number Karen A Kenneally LCSW has the Individual type.

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1740518877 NPI number is provided on an as is basis without warranty of any kind. 1740518877 is maintained by the National Plan & Provider Enumeration System. The contents of Karen A Kenneally LCSW are for informational purposes only.