MARITERESA JACKSON

LEWISTON, ME
NPI1144459264
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: ME  LC12039)
Enumeration Date2009-07-10
Last Update Date2009-07-10
Business Address
MARITERESA JACKSON
1155 LISBON ST
LEWISTON, ME 04240-5025
Phone number: 207-783-9141
Mailing Address
MARITERESA JACKSON
1155 LISBON ST
LEWISTON, ME 04240-5025
Phone number: 207-783-9141
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