Individual
LYNNE UNGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
345 COTTAGE RD, SOUTH PORTLAND, ME 04106-3919
(207) 799-9198
(207) 799-5151
Mailing address
345 COTTAGE RD, SOUTH PORTLAND, ME 04106-3919
(207) 799-9198
(207) 799-5151
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6221
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18285
BLUE CROSS BLUE SHIELD
ME
01
—
PO30913
TRICARE
ME
Enumeration date
06/21/2006
Last updated
06/04/2019
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