Individual
JENNIFER D. DALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131 OCEAN ST, SOUTH PORTLAND, ME 04106-3649
(207) 807-0810
Mailing address
26 CHASE ST, SOUTH PORTLAND, ME 04106-3909
(917) 902-8683
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC13773
ME
Other
Enumeration date
04/21/2014
Last updated
10/24/2014
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