Individual
MS. JESSICA I CONERY-POULIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14 MAINE ST, BRUNSWICK, ME 04011-2049
(207) 837-7587
Mailing address
24 HAWTHORNE ST, BRUNSWICK, ME 04011-2522
(207) 837-7587
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC13784
ME
Other
Enumeration date
08/27/2012
Last updated
11/25/2019
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