Most Relevant Information
Provider Data
| NPI Number: | 1003077629 |
| Provider Name: | VICKIE JACOBS FISHER LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LC12606 |
Most Important Dates
| Enumeration Date: | 06/17/2008 |
| Last Updated: | 07/12/2011 |
Provider Practice Location
49 OAK ST
MAINE BEHAVIORAL HEALTH ORGANIZATION
AUGUSTA
ME
043305118
Practice Location Phone/Fax
| Phone: | 2074418525 |
| Fax: |
Provider Mailing Location
49 OAK ST
AUGUSTA
ME
043305118
Provider Mailing Phone/Fax
| Phone: | 2074418525 |
| Fax: |