JACK PARENT

WESTBROOK, ME
NPI1770371536
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  CAC8922)
Enumeration Date2025-04-30
Last Update Date2025-04-30
Business Address
JACK PARENT
1 DELTA DR
WESTBROOK, ME 04092-4745
Phone number: 207-856-7227
Mailing Address
JACK PARENT
1 DELTA DR
WESTBROOK, ME 04092-4745
Phone number: 207-856-7227
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