Individual
LISA JANE CARBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8 SOUTH MAIN ST, MADISON, ME 04950
(207) 696-3992
(207) 696-3974
Mailing address
8 S MAIN ST, MADISON, ME 04950-4501
(207) 696-3992
(207) 696-3974
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5494
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699795369
—
ME
05
—
431824699
—
ME
Enumeration date
07/19/2006
Last updated
03/07/2014
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