Individual
MRS. SUSAN LEE ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
22 FARWELL ST, LISBON, ME 04250-6824
(207) 353-8118
Mailing address
PO BOX 215, SOUTH GARDINER, ME 04359-0215
(207) 837-1943
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL6489
ME
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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