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Individual

MS. ARGENTA JANE JEFFREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
27 STATE ST, SUITE 63, BANGOR, ME 04401-5113
(207) 570-1123
(866) 963-0160
Mailing address
27 STATE ST, SUITE 63, BANGOR, ME 04401-5113
(207) 570-1123
(866) 963-0160

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4217
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
247980099
ME
Enumeration date
04/23/2007
Last updated
05/26/2009
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