Individual
JESSICA M HASIOTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
50 MOODY ST, SACO, ME 04072-1536
(800) 434-3000
(207) 294-4649
Mailing address
50 MOODY ST, SACO, ME 04072-1536
(800) 434-3000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC16059
ME
Other
Enumeration date
08/30/2016
Last updated
11/20/2018
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