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Individual

JACOB BURNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW-CC

Contact information

Practice address
281 MAIN ST, BIDDEFORD, ME 04005-2412
(207) 494-8010
(207) 494-8471
Mailing address
275 MAIN ST STE 205, BIDDEFORD, ME 04005-2432
(207) 423-8691
(207) 494-8471

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC18602
ME

Other

Enumeration date
07/16/2020
Last updated
07/16/2020
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