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1053471995
SHANE SULLIVAN SIMPSON
LEWISTON, ME
NPI
1053471995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC8693)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
-- SHANE SULLIVAN SIMPSON LCSW
230 BARTLETT ST
LEWISTON, ME 04240-6578
Phone number: 207-783-4695
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Mailing Address
-- SHANE SULLIVAN SIMPSON LCSW
164 INTERVALE RD
NEW GLOUCESTER, ME 04260-3812
Phone number: 207-807-5610
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