Individual
RESHID TAHIR SHANKOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
57 BIRCH ST STE 204, LEWISTON, ME 04240-7415
(207) 440-6947
Mailing address
57 BIRCH ST STE 204, LEWISTON, ME 04240-7415
(207) 440-6947
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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