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1174355507
SHYANN NICOLE COLAVECCHIO
BANGOR, ME
NPI
1174355507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ME CAC8860)
Enumeration Date
2024-08-15
Last Update Date
2024-08-15
Business Address
SHYANN NICOLE COLAVECCHIO CADC
689 ODLIN RD STE 1
BANGOR, ME 04401-6709
Phone number: 207-945-7765
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Mailing Address
SHYANN NICOLE COLAVECCHIO CADC
381 GRIFFIN RD
LEVANT, ME 04456-4505
Phone number: 207-659-9675
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