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Individual

MRS. LUWANA NESSA DYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
465 MAIN ST, SUITE 204, LEWISTON, ME 04240-6738
(207) 333-3394
(207) 333-3395
Mailing address
601 MONROE RD, WINTERPORT, ME 04496-4623
(207) 298-2740

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL3820
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
XL3820
LICENSE NUMBER
ME
Enumeration date
07/06/2011
Last updated
06/06/2024
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