Individual
MRS. JESSICA HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3388 AROOSTOOK ROAD, EAGLE LAKE, ME 04739
(207) 492-1036
(207) 492-1830
Mailing address
38 BOONE RD, MAPLETON, ME 04757-4320
(207) 764-1035
(207) 432-1830
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC10404
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24884099
—
ME
Enumeration date
09/13/2007
Last updated
09/13/2007
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