Individual
CAROL L JOLLOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
60 FRONT ST, WATERVILLE, ME 04901-6658
(207) 314-1949
Mailing address
60 FRONT ST, WATERVILLE, ME 04901-6658
(207) 314-1949
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC7669
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253920099
—
ME
Enumeration date
12/05/2006
Last updated
06/17/2009
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