Individual
SUZANNE LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S. LADC
Contact information
Practice address
64 CHURCH ST, ELLSWORTH, ME 04605-1658
(207) 667-7790
Mailing address
P.O. BOX 1496, ELLSWORTH, ME 04605
(207) 667-7790
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC105
ME
Other
Enumeration date
11/11/2009
Last updated
11/12/2009
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