Lisa E Polakowski, LMSW-cc
Social Worker, Clinical in Lisbon, ME. Individual provider (NPI-1).
NPI number1609995232
StatusActive
Last updated in NPPESApr 3, 2023
Details
- NPI
- 1609995232
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lisa E Polakowski
- Credential
- LMSW-cc
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 28, 2007
- Certification date
- Feb 6, 2023
- Last updated
- Apr 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | MC13160 | ME | Yes |
Practice location
19 Gartley StLisbon, ME 04250-6431
Phone 207-558-3510
Mailing address
19 Gartley StLisbon, ME 04250-6431
Phone 207-558-3510
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