Individual
MRS. JEAN S. WIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
24 SWEDEN ST, SUITE 201, CARIBOU, ME 04736-2127
(207) 493-3361
(207) 492-4889
Mailing address
24 SWEDEN ST, SUITE 201, CARIBOU, ME 04736-2127
(207) 493-3361
(207) 492-4889
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC13592
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417271347
—
ME
Enumeration date
03/22/2010
Last updated
07/09/2012
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