Individual
THOMAS SHANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 SACO RD, STANDISH, ME 04004-0038
(207) 642-9080
Mailing address
PO BOX 38, BAR MILLS, ME 04004-0038
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
LSX11005
ME
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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