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Individual

JULIA B ST JOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
376 MAIN ST, JACKMAN, ME 04945
(207) 668-7755
Mailing address
P.O. BOX 1599, BANGOR, ME 04402
(207) 404-8200
(207) 947-0435

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC17237
ME
1041C0700X
Clinical Social Worker
MC15951
ME

Other

Enumeration date
02/24/2016
Last updated
08/29/2018
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