Individual
LOUISE MACCUBREY LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4 WELLSPRING RD, BIDDEFORD, ME 04005
(207) 282-6309
(207) 282-9920
Mailing address
4 WELLSPRING RD, BIDDEFORD, ME 04005
(207) 282-6309
(207) 282-9920
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC1267
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007304
ANTHEM
—
01
—
1039302
CIGNA
—
01
—
5479264
AETNA
—
Enumeration date
09/13/2006
Last updated
07/08/2007
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