SHAWN D THERIAULT

LEWISTON, ME
NPI1255437877
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2006-09-15
Last Update Date2007-07-08
Business Address
-- SHAWN D THERIAULT LSW
1155 LISBON ST
LEWISTON, ME 04241
Phone number: 207-783-9141
Mailing Address
-- SHAWN D THERIAULT LSW
584 MAIN ST APT 4
LEWISTON, ME 04240
Phone number: 207-316-8466