Individual
SHERENE SALAHSHOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
216 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 662-4340
Mailing address
216 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 662-4340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC17958
ME
Other
Enumeration date
05/02/2017
Last updated
08/03/2020
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