Individual
JESSICA MARIE-MCELRAVY WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12 ELM ST STE 3, GORHAM, ME 04038-1506
(207) 245-2453
(207) 247-1096
Mailing address
12 ELM ST STE 3, GORHAM, ME 04038-1506
(207) 245-2453
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MC16236
ME
1041C0700X
Clinical Social Worker
Primary
LC18216
ME
Other
Enumeration date
09/02/2016
Last updated
08/27/2024
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