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1700294931
SHELLI HANSCOM
BANGOR, ME
NPI
1700294931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC7769)
Enumeration Date
2014-07-31
Last Update Date
2014-07-31
Business Address
-- SHELLI HANSCOM LCSW
319 UNION ST
BANGOR, ME 04401-4798
Phone number: 207-949-3228
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Mailing Address
-- SHELLI HANSCOM LCSW
319 UNION ST
BANGOR, ME 04401-4798
Phone number: 207-949-3228
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