Individual
MS. JENNIFER LOUISE BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
521 MAIN ST UNIT 2D, DAMARISCOTTA, ME 04543-4700
(207) 380-7408
Mailing address
1143 BACK COVE RD, WALDOBORO, ME 04572-6361
(207) 380-7408
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC12408
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC12408
CLINICAL SOCIAL WORK LICENSE NUMBER
ME
Enumeration date
08/28/2007
Last updated
12/01/2023
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