Doctor Name: | LORI ANN KILCOLLINS-DESCHAINE |
NPI Number: | 1063527257 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW-LCSW |
License Number: | LC10663 |
Business Practice Address: | 1 Edgemont Dr Presque Isle, ME - 047692036 |
Business Phone Number: | 2077643319 |
Business Fax Number: | 2077685377 |
Mailing Address: | 43 Hatch Dr, Po Box 1018 CARIBOU |
State: | ME |
Postal Code: | 047362161 |
Phone Number: | 2074986431 |
Fax Number: | 2074923181 |
NPI Enumeration Date: | 08/20/2006 |
NPI Last Update Date: | 10/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC10663 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |