Individual
JENNIFER LAROCQUE VALLIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1577 CONGRESS ST STE 1, PORTLAND, ME 04102-2169
(207) 662-1442
Mailing address
1577 CONGRESS ST STE 1, PORTLAND, ME 04102-2169
(207) 662-1442
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MC14236
ME
1041C0700X
Clinical Social Worker
Primary
LC16696
ME
Other
Enumeration date
09/04/2013
Last updated
08/16/2021
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