Individual
LISA A AUDINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CADC
Contact information
Practice address
467 HADLEY MILL RD, JACKSON, ME 04921-3119
(207) 505-6082
(330) 266-7303
Mailing address
PO BOX 115, BROOKS, ME 04921-0115
(207) 505-6082
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC18634
ME
Other
Enumeration date
11/07/2017
Last updated
08/30/2020
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