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Individual

JEANNIE VEZINA WOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
15 YORK ST, BLDG.19, STE.201, BIDDEFORD, ME 04005-5507
(207) 871-1211
Mailing address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1211

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
CC4222
ME

Other

Enumeration date
09/01/2015
Last updated
09/01/2015
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