Individual
JEREMY LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-CC
Contact information
Practice address
901 WASHINGTON AVE, PORTLAND, ME 04103-2737
(207) 871-1211
Mailing address
901 WASHINGTON AVE, PORTLAND, ME 04103-2737
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC14996
ME
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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