SHANE SULLIVAN SIMPSON

LEWISTON, ME
NPI1053471995
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: ME  LC8693)
Enumeration Date2006-12-11
Last Update Date2007-07-08
Business Address
SHANE SULLIVAN SIMPSON LCSW
230 BARTLETT ST
LEWISTON, ME 04240-6578
Phone number: 207-783-4695
Mailing Address
SHANE SULLIVAN SIMPSON LCSW
164 INTERVALE RD
NEW GLOUCESTER, ME 04260-3812
Phone number: 207-807-5610
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