ISAAC SHAINBLUM

LEWISTON, ME
NPI1891284006
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  cac5601)
Enumeration Date2018-05-02
Last Update Date2018-05-02
Business Address
Mr. ISAAC SHAINBLUM
4 PARK ST
LEWISTON, ME 04240-7172
Phone number: 207-449-7680
Mailing Address
Mr. ISAAC SHAINBLUM
65 COLLEGE ST
LEWISTON, ME 04240-6807
Phone number: 207-449-7680