Most Relevant Information
Provider Data
| NPI Number: | 1003012253 |
| Provider Name: | KIMBERLY A MILLS LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LC12830 |
Most Important Dates
| Enumeration Date: | 06/25/2007 |
| Last Updated: | 03/28/2022 |
Provider Practice Location
86 DAVIS RD
BANGOR
ME
044012311
Practice Location Phone/Fax
| Phone: | 2079922205 |
| Fax: | 2079922207 |
Provider Mailing Location
PO BOX 1599
BANGOR
ME
044021599
Provider Mailing Phone/Fax
| Phone: | 2074048200 |
| Fax: | 2079470435 |