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Individual

JEREMY J BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
491 STEVENS AVE, PORTLAND, ME 04103-2636
(207) 233-7424
Mailing address
163 MOSHER RD, GORHAM, ME 04038-5867
(207) 233-7424

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC13696
ME

Other

Enumeration date
06/03/2010
Last updated
10/22/2012
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