Individual
JENNIFER STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 JOHN ROBERTS RD STE 12, SOUTH PORTLAND, ME 04106-3295
(207) 828-0048
Mailing address
125 JOHN ROBERTS RD STE 12, SOUTH PORTLAND, ME 04106-3295
(207) 828-0048
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC13721
ME
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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