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1447529938
JILL SHAW
PORTLAND, ME
NPI
1447529938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ME cc246)
Enumeration Date
2011-12-29
Last Update Date
2011-12-29
Business Address
-- JILL SHAW LCPC
181 BRACKETT ST
PORTLAND, ME 04102-3857
Phone number: 207-775-0105
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Mailing Address
-- JILL SHAW LCPC
181 BRACKETT ST
PORTLAND, ME 04102-3857
Phone number: 207-775-0105
Copy
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