SHELLEY ALANE THERIAULT

MACHIAS, ME
NPI1740526953
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  MC13939)
Enumeration Date2012-12-14
Last Update Date2012-12-14
Business Address
-- SHELLEY ALANE THERIAULT LMSW
15 KIDS COR
MACHIAS, ME 04654-3328
Phone number: 207-255-8473
Mailing Address
-- SHELLEY ALANE THERIAULT LMSW
530 ROUTE 1
PEMBROKE, ME 04666-4425
Phone number: 207-214-0255