Individual
JESSICA MAYOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
40 MAIN ST STE 13-210, BIDDEFORD, ME 04005-5181
(207) 283-0587
Mailing address
40 MAIN ST STE 13-210, BIDDEFORD, ME 04005-5181
(207) 283-0587
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
213591
MA
104100000X
Social Worker
LC13673
ME
1041C0700X
Clinical Social Worker
Primary
LC13673
ME
Other
Enumeration date
07/07/2008
Last updated
07/21/2022
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