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Individual

MRS. LORI L. DEMERCHANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
34 NORTH ST, SUITE 2, PRESQUE ISLE, ME 04769-2264
(207) 768-9400
Mailing address
218 W PRESQUE ISLE RD, CARIBOU, ME 04736-4113
(207) 493-4770

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11552
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
098153
ANTHEM BCBS NUMBER
ME
05
431481499
ME
Enumeration date
12/04/2006
Last updated
12/17/2008
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