Individual
LORRAINE O WIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
178 LISBON ST, LEWISTON, ME 04240-7234
(207) 440-3284
Mailing address
2 MILLER RD, LISBON, ME 04250-6245
(207) 440-3248
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC8317
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261000099
—
ME
01
—
RB9
ANTHEM
ME
Enumeration date
10/13/2006
Last updated
01/23/2012
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