Individual
MS. LISA M. KUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8 ALLYN ST, BELFAST, ME 04915-6720
(207) 322-5703
(207) 338-5297
Mailing address
8 ALLYN ST, BELFAST, ME 04915-6720
(207) 322-5703
(207) 338-5297
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC6880
ME
1041C0700X
Clinical Social Worker
LC6880
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221180000
—
ME
Enumeration date
11/21/2006
Last updated
04/04/2017
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