Individual
LISA KLUSMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
44 EXCHANGE ST STE 200, PORTLAND, ME 04101-5018
(207) 200-4150
Mailing address
44 EXCHANGE ST STE 200, PORTLAND, ME 04101-5018
(207) 200-4150
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC23617
ME
Other
Enumeration date
06/29/2024
Last updated
10/24/2024
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