Individual
MRS. LISA B. CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., ED.S
Contact information
Practice address
2 OTIS CIR, BRUNSWICK, ME 04011-7399
(207) 615-8114
Mailing address
2 OTIS CIR, BRUNSWICK, ME 04011-7399
(207) 615-8114
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
ME
Other
Enumeration date
04/18/2009
Last updated
04/18/2009
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