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1255437877
SHAWN D THERIAULT
LEWISTON, ME
NPI
1255437877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2006-09-15
Last Update Date
2007-07-08
Business Address
SHAWN D THERIAULT LSW
1155 LISBON ST
LEWISTON, ME 04241
Phone number: 207-783-9141
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Mailing Address
SHAWN D THERIAULT LSW
584 MAIN ST APT 4
LEWISTON, ME 04240
Phone number: 207-316-8466
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