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1407901473
JODY JANSEN
KENNEBUNK, ME
NPI
1407901473
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC#5633)
Enumeration Date
2007-01-23
Last Update Date
2012-11-16
Business Address
-- JODY JANSEN LCSW
62 PORTLAND RD POST ROAD CENTER SUITE 6
KENNEBUNK, ME 04043-6658
Phone number: 207-251-9118
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Mailing Address
-- JODY JANSEN LCSW
370 RICHARDS AVE
PORTSMOUTH, NH 03801-5276
Phone number: 207-251-9118
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