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1366107005
NICHOLAS DAVID SHELLENBERGER
BIDDEFORD, ME
NPI
1366107005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME MC20109)
Enumeration Date
2021-11-08
Last Update Date
2021-11-08
Business Address
NICHOLAS DAVID SHELLENBERGER LCSW-CC
314 ALFRED ST
BIDDEFORD, ME 04005-3102
Phone number: 207-370-5389
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Mailing Address
NICHOLAS DAVID SHELLENBERGER LCSW-CC
314 ALFRED ST
BIDDEFORD, ME 04005-3102
Phone number: 207-370-5389
Copy
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