Individual
MARIELA JACOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 MARION ST APT 2, PORTLAND, ME 04101-6038
(518) 929-7990
Mailing address
28 MARION ST APT 2, PORTLAND, ME 04101-6038
(518) 929-7990
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
230474
MA
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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