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Individual

JESSICA MAYOL

Active
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Individual

JESSICA MAYOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

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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