John R. Jaksa LCSW

NPI 1306917802 - Social Worker - 1041C0700X

NPI Details
NPI 1306917802
Gender Male
Enumeration Date 11/13/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
42 CEDAR ST
BANGOR ME, 04401-6433, US
Phone (207) 947-0366
Fax
Business Location
42 CEDAR ST
BANGOR ME, 04401-6433, US
Phone (207) 947-0366
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Maine
License Number LC5902
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According to our database, Mr. John R. Jaksa LCSW NPI is 1306917802, taxonomy code is 1041C0700X and license number is LC5902, license state is located at Maine. John R. Jaksa LCSW physically located at 42 Cedar St, Bangor ME, 04401-6433. NPI Number John R. Jaksa LCSW has the Individual type.

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1306917802 NPI number is provided on an as is basis without warranty of any kind. 1306917802 is maintained by the National Plan & Provider Enumeration System. The contents of John R. Jaksa LCSW are for informational purposes only.