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Contact Information

LISA DEZSO, LCSW, LADC, CCS
5 COMMERCE DR
SKOWHEGAN, ME04976-4823
 Phone: 207-474-8368
 Fax: 074-747-7794
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for LISA DEZSO · (Female)

NPI Number 1386128734
Status Active
Credentials LCSW, LADC, CCS
Entity Individual
Enumeration date 09/21/2018
Last updated 11/25/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # LC19319
  • ME License # LC7112
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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