Jody (none) Gillen-worden LCSW

NPI 1396936787 - Counselor - 101YM0800X

NPI Details
NPI 1396936787
Gender Female
Enumeration Date 08/09/2007
Last Updated 08/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
58 NORTH ST
APT 2
ELLSWORTH ME, 04605-3347, US
Phone (207) 667-2288
Fax
Business Location
58 NORTH ST
APT 2
ELLSWORTH ME, 04605-3347, US
Phone (207) 667-2288
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Maine
License Number LC4672
Remove 1396936787 NPI Number
 

According to our database, Ms. Jody (none) Gillen-worden LCSW NPI is 1396936787, taxonomy code is 101YM0800X and license number is LC4672, license state is located at Maine. Jody (none) Gillen-worden LCSW physically located at 58 North St, Ellsworth ME, 04605-3347. NPI Number Jody (none) Gillen-worden LCSW has the Individual type.

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1396936787 NPI number is provided on an as is basis without warranty of any kind. 1396936787 is maintained by the National Plan & Provider Enumeration System. The contents of Jody (none) Gillen-worden LCSW are for informational purposes only.