| Lisa Crowley Lcsw Llc | |
|
4 Campbell Cir Kennebunk ME 04043-6838 | |
| (207) 205-2054 | |
| Not Available |
| Full Name | Lisa Crowley Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4 Campbell Cir, Kennebunk, Maine |
| Authorized Official Name and Position | Lisa Marie Macdonald (OWNER) |
| Authorized Official Contact | 2072052054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Crowley Lcsw Llc 4 Campbell Cir Kennebunk ME 04043-6838 Ph: (207) 205-2054 | Lisa Crowley Lcsw Llc 4 Campbell Cir Kennebunk ME 04043-6838 Ph: (207) 205-2054 |
| NPI Number | 1699226167 |
|---|---|
| Provider Enumeration Date | 10/20/2016 |
| Last Update Date | 10/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699226167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC8956 (Maine) | Primary |
| 1041C0700X | Social Worker - Clinical | SW110393-01 (Massachusetts) | Secondary |
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