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1841651445
ROGER PIERRE SHEVENELL
FREEPORT, ME
NPI
1841651445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ME LC853)
Enumeration Date
2016-03-10
Last Update Date
2016-03-10
Business Address
ROGER PIERRE SHEVENELL LADC
663 GRANITE ST
FREEPORT, ME 04032-6288
Phone number: 207-653-1169
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Mailing Address
ROGER PIERRE SHEVENELL LADC
663 GRANITE ST
FREEPORT, ME 04032-6288
Phone number: 207-653-1169
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