Individual
SHAWNA LYNN HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW-C
Contact information
Practice address
15 YORK ST, BUILDING 9 SUITE 201, BIDDEFORD, ME 04005-5507
(207) 283-0587
(207) 283-2850
Mailing address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1211
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSX12976
ME
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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