Jon Petruschke LLC
Jon Petruschke LLC is a Clinical Social Worker in Portland, Maine. Registered with an NPI since 2017.
- In the registry since
- 2017
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
145 Newbury St Ste 2Portland, ME 04101-4261
Phone: (207) 774-9667
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1528593985 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jon Petruschke — Social Worker · (207) 774-9667 |
| NPI enumerated | April 24, 2017 |
| Last updated in NPPES | April 24, 2017 |
| Mailing address | 21 Howard St, Portland, ME 04101-3208 |
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