Individual
JODY JANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
62 PORTLAND RD, POST ROAD CENTER SUITE 6, KENNEBUNK, ME 04043-6658
(207) 251-9118
Mailing address
370 RICHARDS AVE, PORTSMOUTH, NH 03801-5276
(207) 251-9118
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC#5633
ME
Other
Enumeration date
01/23/2007
Last updated
11/16/2012
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