Jaime Marie Tardif LCSW

NPI 1396963245 - Social Worker - 1041C0700X

NPI Details
NPI 1396963245
Gender Female
Enumeration Date 04/23/2007
Last Updated 10/06/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
72 JUSTICE WAY
GORHAM ME, 04038, US
Phone (207) 222-1050
Fax
Business Location
55 ATLANTIC STREET
APT. 2
PORTLAND ME, 04101-4358, US
Phone (207) 838-8327
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Maine
License Number LC11211
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According to our database, Ms. Jaime Marie Tardif LCSW NPI is 1396963245, taxonomy code is 1041C0700X and license number is LC11211, license state is located at Maine. Jaime Marie Tardif LCSW physically located at 72 Justice Way, Gorham ME, 04038. NPI Number Jaime Marie Tardif LCSW has the Individual type.

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1396963245 NPI number is provided on an as is basis without warranty of any kind. 1396963245 is maintained by the National Plan & Provider Enumeration System. The contents of Jaime Marie Tardif LCSW are for informational purposes only.