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1942310255
DIANE JAECKEL
WESTBROOK, ME
NPI
1942310255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LI714)
Enumeration Date
2006-08-30
Last Update Date
2007-07-09
Business Address
-- DIANE JAECKEL LCSW
123 ANDOVER RD
WESTBROOK, ME 04092-3848
Phone number: 207-761-2200
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Mailing Address
-- DIANE JAECKEL LCSW
123 ANDOVER RD
WESTBROOK, ME 04092-3848
Phone number: 207-761-2200
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