Individual
LEE T LYFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 VA CTR, 11-S, AUGUSTA, ME 04330-6719
(207) 623-8411
Mailing address
1 VA CTR, 11-S, AUGUSTA, ME 04330-6719
(207) 623-8411
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC10134
ME
Other
Enumeration date
06/22/2006
Last updated
11/20/2015
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