Individual
LOIS C DVORAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
6 STATE ST, SUITE 610, BANGOR, ME 04401-5112
(207) 947-2292
Mailing address
256 POPLAR ST, OLD TOWN, ME 04468-5905
(207) 827-3087
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00001174
ME
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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