JACOB M WISECUP

PORTLAND, ME
NPI1992392914
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  MC19315)
Enumeration Date2020-12-23
Last Update Date2020-12-23
Business Address
JACOB M WISECUP LMSW-CC
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103-2842
Phone number: 207-871-1200
Mailing Address
JACOB M WISECUP LMSW-CC
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103-2842
Phone number: 207-871-1200
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