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JON PETRUSCHKE, LCSW
LCSW
Clinical Social Worker
NPI: 1306021910IndividualAccepts Medicare
Specialties, Licenses & Credentials
Clinical Social WorkerPrimary
Social Worker — Clinical
Code: 1041C0700X
LC8835(ME)
CMS Specialties
PrimaryCLINICAL SOCIAL WORKER
Education
OTHER
Class of 2002
Contact & Hours
- Address
- 145 NEWBURY STREET, STE 2
PORTLAND, MAINE 04101 - Phone
- (207) 774-9667
Quick Facts
- NPI
- 1306021910
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 24
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