-- JILL ELLEN BISHOP AVERY -- LCSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1740445147- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LCSW
- Status
- Active
Contact & Location
- Address
- 418 WATER ST, GARDINER, ME, 043452058
- Phone
- (207) 588-0235
Specialties & Taxonomies
Social Worker, Clinical
Primary License: ME #LC11640
Social Worker
License: ME #LC11640