Individual
JONATHAN KEVIN NICHOLAS NEGOESCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
209 MAIN ST, SUITE 302, SACO, ME 04072-1566
(207) 571-9923
(207) 571-9927
Mailing address
51 PORTLAND AVE, UNIT 6, OLD ORCHARD BEACH, ME 04064-1500
(207) 934-0460
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC10242
ME
Other
Enumeration date
03/02/2007
Last updated
03/07/2013
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