Individual
JENNIFER L SPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1068 UNION ST, BANGOR, ME 04401-3016
(207) 404-8181
(207) 922-4198
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 404-8200
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC15106
ME
Other
Enumeration date
02/08/2010
Last updated
05/05/2021
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