Organization
EVERGREEN PSYCHOTHERAPY
Active
Organization
EVERGREEN PSYCHOTHERAPY
Active
Other names
Jaime Mastrorio LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME MASTRORIO LCSW (OWNER / LCSW)
(508) 243-3580
Entity
Organization
Contact information
Practice address
844 STEVENS AVE, PORTLAND, ME 04103-2676
(508) 243-3580
Mailing address
844 STEVENS AVE, PORTLAND, ME 04103-2676
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
11/15/2024
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