Individual
MS. LISA CROCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW PA
Contact information
Practice address
14 MAINE ST, SUITE 206, BRUNSWICK, ME 04011-2049
(207) 373-3964
(207) 373-3965
Mailing address
14 MAINE ST, SUITE 206, BRUNSWICK, ME 04011-2049
(207) 373-3964
(207) 373-3965
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11212
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432106399
—
ME
Enumeration date
05/18/2007
Last updated
08/26/2015
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