Individual
ELIZABETH ANN MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
331 PINE ST, LEWISTON, ME 04240-6308
(207) 344-6290
(207) 344-6177
Mailing address
331 PINE ST, LEWISTON, ME 04240-6308
(207) 344-6290
(207) 344-6177
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC12488
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432618899
—
ME
Enumeration date
04/18/2008
Last updated
01/23/2013
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