Individual
GREG DISY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW-LCSW
Contact information
Practice address
43 HATCH DR, CARIBOU, ME 04736-2161
(207) 498-6431
(207) 492-3181
Mailing address
43 HATCH DR, PO BOX 1018, CARIBOU, ME 04736-2161
(207) 498-6431
(207) 492-3181
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC1478
ME
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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