Organization
SHAKER POND COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANA CLOUGH LCSW (OWNER)
(207) 324-8222
Entity
Organization
Contact information
Practice address
200 WATERBORO RD, ALFRED, ME 04002-3247
(207) 324-8222
Mailing address
PO BOX 53, ALFRED, ME 04002-0053
(207) 324-8222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC3505
ME
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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