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1780805085
SHANNON K POWELL
PORTLAND, ME
NPI
1780805085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC11040)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
-- SHANNON K POWELL LCSW
216 VAUGHAN ST
PORTLAND, ME 04102-3204
Phone number: 207-662-2221
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Mailing Address
-- SHANNON K POWELL LCSW
216 VAUGHAN ST
PORTLAND, ME 04102-3204
Phone number: 207-662-2221
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