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1306917802
JOHN R. JAKSA
BANGOR, ME
NPI
1306917802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC5902)
Enumeration Date
2006-11-13
Last Update Date
2007-07-09
Business Address
Mr. JOHN R. JAKSA LCSW
42 CEDAR ST
BANGOR, ME 04401-6433
Phone number: 207-947-0366
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Mailing Address
Mr. JOHN R. JAKSA LCSW
42 CEDAR ST
BANGOR, ME 04401-6433
Phone number: 207-947-0366
Copy
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