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Individual

NANCY HARRIS JAEGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
141 FRONT ST, BATH, ME 04530
(207) 443-6950
Mailing address
141 FRONT ST, BATH, ME 04530
(207) 443-6950

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC1379
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
099073
BCBS
ME
01
11540518
CAQH
ME
Enumeration date
01/31/2008
Last updated
01/31/2008
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