Individual
MRS. LISA E POLAKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
19 GARTLEY ST, LISBON, ME 04250-6431
(207) 558-3510
Mailing address
19 GARTLEY ST, LISBON, ME 04250-6431
(207) 558-3510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC13160
ME
Other
Enumeration date
03/28/2007
Last updated
04/03/2023
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