Individual
JEANNE LEE SCHACKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
50 MOODY ST, SACO, ME 04072-1536
(207) 294-4657
(207) 294-4649
Mailing address
60 HARRIET ST, SOUTH PORTLAND, ME 04106-2003
(207) 799-1386
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC8183
ME
Other
Enumeration date
04/07/2006
Last updated
07/08/2007
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