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Individual

MS. JANE GAIR PRAIRIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
836 MAIN ST, WESTBROOK, ME 04092-2861
(207) 879-3803
Mailing address
PO BOX 701, WESTBROOK, ME 04098-0701
(207) 879-3803

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC2787
ME

Other

Enumeration date
01/17/2007
Last updated
03/06/2008
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