Organization
THE SHAW AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBERTA ESTHER SHAW L.C.P.C., C.A.D.C. (OWNER/OPERATOR)
(207) 453-7987
Entity
Organization
Contact information
Practice address
12 DAMASCUS RD, FAIRFIELD, ME 04937-4307
(207) 453-7987
(207) 453-7987
Mailing address
12 DAMASCUS RD, FAIRFIELD, ME 04937-4307
(207) 453-7987
(207) 453-7987
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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