Individual
MS. ELIZABETH KLOSE HARTFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W
Contact information
Practice address
67 EUSTIS PKWY, WATERVILLE, ME 04901-5173
(207) 873-2136
(207) 872-4522
Mailing address
23 SHEPARD LN, LITCHFIELD, ME 04350-4256
(207) 576-7581
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6544
ME
Other
Enumeration date
08/20/2010
Last updated
07/03/2013
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