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1982799755
HEATHER M. JACKSON
PORTLAND, ME
NPI
1982799755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC7313)
Enumeration Date
2006-10-04
Last Update Date
2021-01-07
Business Address
HEATHER M. JACKSON LCSW
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103-2842
Phone number: 207-871-1200
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Mailing Address
HEATHER M. JACKSON LCSW
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103-2842
Phone number: 207-871-1200
Copy
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