Organization
LISA CROWLEY LCSW LLC
Active
Organization
LISA CROWLEY LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE MACDONALD MSW (OWNER)
(207) 205-2054
Entity
Organization
Contact information
Practice address
4 CAMPBELL CIR, KENNEBUNK, ME 04043-6838
(207) 205-2054
Mailing address
4 CAMPBELL CIR, KENNEBUNK, ME 04043-6838
(207) 205-2054
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC8956
ME
1041C0700X
Clinical Social Worker
SW110393-01
MA
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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