Individual
MRS. JENNIFER A. WIESSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
160 LONGWOODS RD, CUMBERLAND, ME 04021-8702
(207) 400-7808
Mailing address
118 BASTON RD, NORTH YARMOUTH, ME 04097-6414
(207) 829-8234
(207) 829-8234
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC10403
ME
Other
Enumeration date
07/06/2007
Last updated
02/02/2010
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