Individual
LISA MARIE MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4 CAMPBELL CIR, KENNEBUNK, ME 04043-6838
(207) 985-9939
Mailing address
4 CAMPBELL CIR, KENNEBUNK, ME 04043-6838
(207) 985-9939
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC8956
ME
1041C0700X
Clinical Social Worker
SW110393-1
MA
Other
Enumeration date
04/28/2016
Last updated
10/24/2016
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