Individual
ELISE LEHOTSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
66 BRAMHALL ST, PORTLAND, ME 04102-3344
(076) 623-1012
(207) 662-6783
Mailing address
32 NORTH HIGH STREET, BRIDGTON, ME 04009
(978) 808-5424
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC17012
ME
Other
Enumeration date
12/23/2015
Last updated
03/09/2019
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