Individual
MS. JESSICA ADRIANCE COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
30 PINE ST, FREEPORT, ME 04032-6213
(707) 272-2172
Mailing address
30 PINE ST, FREEPORT, ME 04032-6213
(707) 272-2172
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19608
ME
1041C0700X
Clinical Social Worker
LCSW26433
CA
Other
Enumeration date
06/08/2006
Last updated
02/01/2021
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