SHANNON LEE SMALL

ELLSWORTH, ME
NPI1487159075
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence:   CAC4944)
Enumeration Date2018-03-27
Last Update Date2018-03-27
Business Address
SHANNON LEE SMALL CADC
248 STATE ST STE 13B
ELLSWORTH, ME 04605-1850
Phone number: 207-835-5809
Mailing Address
SHANNON LEE SMALL CADC
248 STATE ST STE 13B
ELLSWORTH, ME 04605-1850
Phone number: 207-835-5809
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