SearchMaine1041C0700X

Polo Jean-Louis, LCSW

NPI 1649436908 · on the registry since 2008 · sole proprietor

Practice

Address
612 Gray Rd
Gorham, ME 04038
Phone
(207) 200-7050
Fax
(207) 893-1865

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
ME
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-05-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine