Individual
LILA MAYCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
84 NORTH RD, LAMOINE, ME 04605-4703
(207) 323-2804
Mailing address
84 NORTH RD, LAMOINE, ME 04605-4703
(207) 323-2804
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC21527
ME
Other
Enumeration date
11/28/2022
Last updated
05/28/2024
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