Individual
LORI A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
272 MAIN STREET SUITE 103, MADAWASKA, ME 04756-0602
(207) 436-9587
(207) 728-3131
Mailing address
PO BOX 602, MADAWASKA, ME 04756-0602
(207) 436-9587
(207) 728-3131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11621
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
431878499
MAINE CARE NUMBER
ME
Enumeration date
03/26/2007
Last updated
05/10/2013
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