Individual
JOLEEN LILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 VA CTR, AUGUSTA, ME 04330-6719
(207) 623-8411
(207) 623-8411
Mailing address
34A CHESTNUT CMN, NEW GLOUCESTER, ME 04260-4422
(207) 623-8411
(207) 623-8411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC8121
ME
Other
Enumeration date
12/01/2006
Last updated
08/12/2015
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