Individual
JESSE CYR CORBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
15 MID COAST DR, BELFAST, ME 04915-6079
(207) 338-2295
(207) 338-2388
Mailing address
78 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 842-7736
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11595
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432298899
—
ME
Enumeration date
05/14/2008
Last updated
02/20/2013
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