Individual
MS. JEAN MARIE WAKEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
253 NORTHPORT AVE, BELFAST, ME 04915-6006
(207) 338-4514
Mailing address
95 SIROTA DR, SEARSMONT, ME 04973-3323
(207) 342-5387
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC7318
ME
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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