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Individual

ALLYSON BEA LOWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
170 FOREST STREET, WESTBROOK, ME 04092
(207) 878-9663
(207) 797-6137
Mailing address
PO BOX 1768, PORTLAND, ME 04104-1768
(207) 878-9663
(207) 797-6137

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5862
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1619110798
ME
Enumeration date
03/05/2015
Last updated
03/05/2015
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