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Individual

MRS. JINNI-MAE CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW-CC

Contact information

Practice address
420 CUMBERLAND AVE, PORTLAND, ME 04101-2823
(207) 871-7431
(207) 871-7457
Mailing address
28 BAYWOOD LN, YARMOUTH, ME 04096-6134
(207) 391-2298
(207) 871-7457

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC19012
ME

Other

Enumeration date
09/04/2020
Last updated
09/04/2020
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