Individual
JEFF TINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
66 STATE ST, PORTLAND, ME 04101-3751
(207) 781-8550
Mailing address
307 CONGRESS ST, PO BOX 10660, PORTLAND, ME 04101-3638
(207) 781-8550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7449-LC
ME
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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