Search › Maine › 1041C0700X
Jill Gardner, LCSW
NPI 1720530041 · on the registry since 2016 · sole proprietor
Practice
- Address
- 78 Larkin St Apt 2
Bangor, ME 04401 - Phone
- (207) 478-7785
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-07
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