Individual
JENNY L MCGRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSWC
Contact information
Practice address
9 HILLCREST AVE, RANDOLPH, ME 04346-5131
(207) 582-9205
(207) 582-9653
Mailing address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1200
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSX10402
ME
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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