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Individual

JENNIFER ZORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC ,LSW

Contact information

Practice address
525 MAIN ST, SOUTH PORTLAND, ME 04106-5462
(207) 874-1045
(207) 767-0995
Mailing address
525 MAIN ST, SOUTH PORTLAND, ME 04106-5462
(207) 874-1045
(207) 767-0995

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC4152
ME
101Y00000X
Counselor
Primary
LS10580
ME

Other

Enumeration date
10/14/2009
Last updated
10/14/2009
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