Individual
ELIZABETH SUSAN EASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
42 MALLETT DR, SUITE 2, FREEPORT, ME 04032-1355
(207) 865-1101
Mailing address
42 MALLETT DR, SUITE 22, FREEPORT, ME 04032-1355
(207) 865-1101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC12878
ME
Other
Enumeration date
06/19/2009
Last updated
10/06/2014
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