SUSAN SHAW

SOUTH PORTLAND, ME
NPI1154795680
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ME  CC4414)
Enumeration Date2015-11-20
Last Update Date2015-11-20
Business Address
-- SUSAN SHAW LCPC
50 LYDIA LN
SOUTH PORTLAND, ME 04106-2156
Phone number: 207-331-6102
Mailing Address
-- SUSAN SHAW LCPC
50 LYDIA LN
SOUTH PORTLAND, ME 04106-2156
Phone number: 207-331-6102
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