Most Relevant Information
Provider Data
| NPI Number: | 1003827254 |
| Provider Name: | LANA CLOUGH LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LC3505 |
Most Important Dates
| Enumeration Date: | 08/11/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
200 WATERBORO RD
ALFRED
ME
04002
Practice Location Phone/Fax
| Phone: | 2073248222 |
| Fax: |
Provider Mailing Location
PO BOX 53
ALFRED
ME
040020053
Provider Mailing Phone/Fax
| Phone: | 2073248222 |
| Fax: |