Provider Demographics
NPI:1316196876
Name:COMEAU, ELIZABETH DOROTHY (LCSW)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:DOROTHY
Last Name:COMEAU
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 MAPLE ST APT C
Mailing Address - Street 2:
Mailing Address - City:SACO
Mailing Address - State:ME
Mailing Address - Zip Code:04072-3188
Mailing Address - Country:US
Mailing Address - Phone:207-832-1239
Mailing Address - Fax:
Practice Address - Street 1:66 MAPLE ST APT C
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-3188
Practice Address - Country:US
Practice Address - Phone:207-832-1239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2022-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical