Individual
JAIMIE KLIMEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 892-1200
Mailing address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC12916
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063601026
—
ME
05
—
81263824
—
NH
Enumeration date
09/12/2007
Last updated
12/13/2011
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