Individual
MS. LISA DEZSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LADC, CCS
Contact information
Practice address
5 COMMERCE DR, SKOWHEGAN, ME 04976-4823
(207) 474-8368
(074) 747-7794
Mailing address
5 COMMERCE DR, SKOWHEGAN, ME 04976-4823
(207) 474-8368
(207) 872-0639
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC7112
ME
1041C0700X
Clinical Social Worker
Primary
LC19319
ME
Other
Enumeration date
09/21/2018
Last updated
11/25/2020
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