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1558619742
SHANNON LEA TAYLOR
BIDDEFORD, ME
NPI
1558619742
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Former Name
SHANNON LEA TUCKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME MC13363)
Enumeration Date
2012-08-21
Last Update Date
2018-10-10
Business Address
SHANNON LEA TAYLOR LCSW
40 MAIN ST BLDG 13
BIDDEFORD, ME 04005-5178
Phone number: 207-871-1200
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Mailing Address
SHANNON LEA TAYLOR LCSW
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103-2842
Phone number: 207-871-1211
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