Organization
JESSICA WELCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA WELCH LCSW (OWNER)
(207) 333-0330
Entity
Organization
Contact information
Practice address
12 ELM ST, GORHAM, ME 04038-1506
(207) 370-1282
Mailing address
151 OLD PORTLAND RD, NORTH WATERBORO, ME 04061-4901
(207) 333-0330
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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