JON PETRUSCHKE LLC

PORTLAND, ME
NPI1528593985
Entity TypeOrganization
Authorized ContactJON PETRUSCHKE
Social Worker
207-774-9667
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker Clinical
Enumeration Date2017-04-24
Last Update Date2017-04-24
Business Address
JON PETRUSCHKE LLC
145 NEWBURY ST SUITE 2
PORTLAND, ME 04101-4261
Phone number: 207-774-9667
Mailing Address
JON PETRUSCHKE LLC
21 HOWARD ST
PORTLAND, ME 04101-3208
Phone number: 207-774-9667
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