Jacie Shaw
Jacie Shaw is a Clinical Social Worker in Portland, Maine. Practices as a sole proprietor. Licensed in Maine.
- Licensed in
- ME
- In the registry since
- 2010
Practice location Address checks out
60 Buca RunPortland, ME 04103-1427
Phone: (204) 624-2464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence MC12587 (ME) |
|---|
Record details
| NPI number | 1407162779 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 25, 2010 |
| Last updated in NPPES | August 25, 2010 |
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