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1740526953
SHELLEY ALANE THERIAULT
MACHIAS, ME
NPI
1740526953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME MC13939)
Enumeration Date
2012-12-14
Last Update Date
2012-12-14
Business Address
-- SHELLEY ALANE THERIAULT LMSW
15 KIDS COR
MACHIAS, ME 04654-3328
Phone number: 207-255-8473
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Mailing Address
-- SHELLEY ALANE THERIAULT LMSW
530 ROUTE 1
PEMBROKE, ME 04666-4425
Phone number: 207-214-0255
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