Individual
JACLYN STRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW/CC
Contact information
Practice address
1011 FOREST AVE, PORTLAND, ME 04103-3304
(207) 553-2069
Mailing address
43 FESSENDEN ST, APT. 2, PORTLAND, ME 04103-4896
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MC10699
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432347599
—
ME
Enumeration date
10/23/2006
Last updated
07/08/2007
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