SHANNON LEA TAYLOR

BIDDEFORD, ME
NPI1558619742
Former NameSHANNON LEA TUCKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  MC13363)
Enumeration Date2012-08-21
Last Update Date2018-10-10
Business Address
SHANNON LEA TAYLOR LCSW
40 MAIN ST BLDG 13
BIDDEFORD, ME 04005-5178
Phone number: 207-871-1200
Mailing Address
SHANNON LEA TAYLOR LCSW
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103-2842
Phone number: 207-871-1211