AMITY JACKSON

PORTLAND, ME
NPI1194414698
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  LC22099)
Enumeration Date2023-05-02
Last Update Date2023-05-02
Business Address
AMITY JACKSON LCSW
75 PEARL ST STE 470
PORTLAND, ME 04101-7122
Phone number: 207-619-3356
Mailing Address
AMITY JACKSON LCSW
75 PEARL ST STE 470
PORTLAND, ME 04101-7122
Phone number: 207-619-3356
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