Individual
MS. MARCIE KALEN LISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
20 LADD ST, 4TH FLOOR, PORTSMOUTH, NH 03801
(603) 433-2464
Mailing address
40 EASTERN PROMENADE, PORTLAND, ME 04101
(603) 433-2464
(207) 899-1299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
139
NH
101YM0800X
Mental Health Counselor
LC10032
ME
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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