JOHN DANIEL LICHTMAN

PORTLAND, ME
NPI1831324920
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  LC12900)
Enumeration Date2009-05-19
Last Update Date2011-01-04
Business Address
-- JOHN DANIEL LICHTMAN LCSW
343 FOREST AVE
PORTLAND, ME 04101-2006
Phone number: 207-874-1030
Mailing Address
-- JOHN DANIEL LICHTMAN LCSW
343 FOREST AVE
PORTLAND, ME 04101-2006
Phone number: 207-874-1030