Individual
JENNA GOLDSTEIN-WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
25 WESTMINSTER ST, LEWISTON, ME 04240-3531
(207) 786-8122
(207) 786-8164
Mailing address
25 WESTMINSTER ST, LEWISTON, ME 04240-3531
(207) 786-8122
(207) 786-8164
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC13149
ME
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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