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Contact Information

KAYLA BLACKBOROW, LCSW
576 SAINT JOHN ST
PORTLAND, ME04102-2710
 Phone: 207-661-0700
 Fax: 207-536-6720
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for KAYLA BLACKBOROW · (Female)

NPI Number 1427776210
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 08/17/2022
Last updated 12/12/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MA License # 228110
  • ME License # LC23814
  • ME License # LC8564
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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