Individual
JACQUELINE ALANA CYGNUS BELKNAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10 MILLS RD STE B, NEWCASTLE, ME 04553-3407
(207) 380-1600
Mailing address
10 MILLS RD STE B, NEWCASTLE, ME 04553-3407
(207) 380-1600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC9563
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432631199
—
ME
Enumeration date
08/27/2007
Last updated
01/03/2017
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