Individual
LISA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
778 ROOSEVELT TRL STE 3B, WINDHAM, ME 04062-5376
(207) 572-5441
Mailing address
PO BOX 33, SOUTH WINDHAM, ME 04082-0033
(207) 572-5441
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC17748
ME
Other
Enumeration date
10/26/2015
Last updated
10/23/2024
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