| NPI | 1871999193 |
|---|---|
| Other Name | JODY JANSEN LCSW |
| Entity Type | Organization |
| Authorized Contact | JODY JANSEN Clinical Social Work 207-251-9118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC5633) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2016-12-01 |