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Individual

MS. JAIME MARIE TARDIF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
72 JUSTICE WAY, GORHAM, ME 04038
(207) 222-1050
Mailing address
55 ATLANTIC STREET, APT. 2, PORTLAND, ME 04101-4358
(207) 838-8327

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11211
ME

Other

Enumeration date
04/23/2007
Last updated
10/06/2011
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