Individual
LISA M KEYSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLINICAL SOCIAL WORK
Contact information
Practice address
153 STATE ST, UNIT 6, BREWER, ME 04412-1992
(207) 991-1848
Mailing address
84 PEMBER RD, LEVANT, ME 04456-4319
(207) 991-1848
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC9790
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282850099
—
ME
Enumeration date
06/04/2007
Last updated
05/31/2012
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