Individual
JILL RAYWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
535 OCEAN AVE STE 4, PORTLAND, ME 04103-4970
(207) 370-5389
Mailing address
535 OCEAN AVE STE 4, PORTLAND, ME 04103-4970
(207) 370-5389
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC18247
ME
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/08/2014
Last updated
05/09/2024
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