Individual
LORI GREEN-STADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
52 WATER STREET, HALLOWELL, ME 04347
(207) 620-8495
Mailing address
RR4 BOX 6520, GARDINER, ME 04345
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC2722
ME
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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