Individual
JON M ST. PETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
21 ELM ST STE 302, CAMDEN, ME 04843-1902
(207) 491-0502
Mailing address
PO BOX 513, CAMDEN, ME 04843-0513
(207) 491-0502
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC18130
ME
Other
Enumeration date
03/31/2017
Last updated
08/03/2021
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