Individual
LAURIE SIVONEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4 SCAMMON ST STE 19-399, SACO, ME 04072-5121
(207) 221-6644
(207) 510-8021
Mailing address
6 SOKOKIS CIR, SACO, ME 04072-1874
(207) 221-6644
(207) 510-8021
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11993
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432872299
—
ME
Enumeration date
08/12/2008
Last updated
10/20/2023
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