Individual
MELISSA SHOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
700 MOUNT HOPE AVE STE 320, BANGOR, ME 04401-5680
(207) 951-4602
Mailing address
39 OLD TRAIL RD, HERMON, ME 04401-0439
(207) 570-1490
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC13694
ME
Other
Enumeration date
10/16/2012
Last updated
02/05/2013
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