Most Relevant Information
Provider Data
| NPI Number: | 1003427535 |
| Provider Name: | BROOKLIN R JONES-BANAHAN LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LC21628 |
Most Important Dates
| Enumeration Date: | 08/10/2020 |
| Last Updated: | 01/18/2023 |
Provider Practice Location
77 COURT ST
BANGOR
ME
044014723
Practice Location Phone/Fax
| Phone: | 2079410879 |
| Fax: | 2079410880 |
Provider Mailing Location
77 COURT ST
BANGOR
ME
044014723
Provider Mailing Phone/Fax
| Phone: | 2079410879 |
| Fax: | 2079410880 |