Couch Kelly, Sandra Emily

Couch Kelly, Sandra Emily is an individual health care provider with primary practice located at 410 Bridge St Congin School, Westbrook ME 04092-3185. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Couch Kelly, Sandra Emily can be contacted via phone (207) 854-0844.

Contact Information

Primary practice address
410 Bridge St Congin School Westbrook ME 04092-3185
Phone: (207) 854-0844
Fax: (207) 854-0846
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC6148 Maine

Profile Details

NPI number 1164573747
LBN Legal business name Couch Kelly, Sandra Emily
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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