Individual
MS. JODY (NONE) GILLEN-WORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
58 NORTH ST, APT 2, ELLSWORTH, ME 04605-3347
(207) 667-2288
Mailing address
58 NORTH ST, APT 2, ELLSWORTH, ME 04605-3347
(207) 667-2288
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC4672
ME
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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