Individual
JOHN TAGGART WASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
535 OCEAN AVE, PORTLAND, ME 04103-4973
(207) 232-5309
Mailing address
61 FALMOUTH ST APT 2, PORTLAND, ME 04103-8004
(207) 232-5309
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC24331
ME
Other
Enumeration date
08/09/2022
Last updated
01/06/2025
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