Individual
KANE LOUKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
50 LYDIA LN, SOUTH PORTLAND, ME 04106-2156
(207) 523-5050
Mailing address
50 LYDIA LN, SOUTH PORTLAND, ME 04106-2156
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC3690
ME
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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