Jefferson
NPI #1598092249 in Damariscotta, Maine
Provider Information
- NPI Number
- 1598092249
- Entity Type
- Organization
- Organization Name
- Jefferson
- Primary Specialty
- Local Education Agency (LEA)
- Enumeration Date
- Nov 17, 2009
- Last Updated
- Nov 17, 2009
Practice Location
- Address
- 767 MAIN ST # 1A
- City
- Damariscotta
- State
- Maine
- ZIP Code
- 04543-4664
- Phone
- (207) 563-3044
Authorized Official
- Name
- DERYL C. HOLT
- Title
- DIRECTOR OF SPECIAL SERVICES
- Phone
- (207) 563-3044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Local Education Agency (LEA) |
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