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1891065074
WILLIAM SHEA
PORTLAND, ME
NPI
1891065074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC13369)
Enumeration Date
2012-01-05
Last Update Date
2012-12-14
Business Address
-- WILLIAM SHEA
15 MITTON ST
PORTLAND, ME 04102-2611
Phone number: 207-712-8325
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Mailing Address
-- WILLIAM SHEA
15 MITTON ST
PORTLAND, ME 04102-2611
Phone number: 207-712-8325
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