Individual
NATHAN LIZOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW-CC
Contact information
Practice address
71 US ROUTE 1, SCARBOROUGH, ME 04074-7173
(207) 373-0620
Mailing address
401 CUMBERLAND AVE, #309, PORTLAND, ME 04101-5831
(207) 316-2411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC15002
ME
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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