Individual
JENNIFER MARIE HOLESHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
797 WILSON ST, BREWER, ME 04412
(207) 973-6494
Mailing address
797 WILSON ST, BREWER, ME 04412-1000
(207) 973-6494
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC17643
ME
Other
Enumeration date
09/19/2018
Last updated
03/31/2019
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