Individual
MS. MIRANDA LEIGH SHEPHERD-BUSSIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
20 MAPLEWOOD AVE, BIDDEFORD, ME 04005-2110
(207) 282-1596
Mailing address
20 MAPLEWOOD AVE, BIDDEFORD, ME 04005-2110
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC21558
ME
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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