Individual
JAIME ELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
887 CONGRESS ST, SUITE 300, PORTLAND, ME 04102-3100
(207) 662-5522
(207) 662-5527
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC10987
ME
Other
Enumeration date
01/08/2014
Last updated
04/25/2017
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