Individual
JESSICA TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 HIGH ST, PORTLAND, ME 04101-2831
(207) 409-3571
Mailing address
153 GLENWOOD AVE, PORTLAND, ME 04103-3128
(207) 774-1780
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC8313
ME
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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