Individual
JANE E. HUBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
165 LANCASTER ST, PORTLAND, ME 04101-2406
(207) 874-1030
(207) 874-1044
Mailing address
78 ATLANTIC PLACE, SOUTH PORTLAND, ME 04106-2316
(207) 842-7701
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5742
ME
1041S0200X
School Social Worker
LC5742
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432573199
—
ME
Enumeration date
05/20/2009
Last updated
09/11/2012
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