Individual
MRS. SHARON CLOUGH HAMLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
268 MAINE AVE, FARMINGDALE, ME 04344-4514
(207) 582-5192
(207) 582-5192
Mailing address
268 MAINE AVE, FARMINGDALE, ME 04344
(207) 582-5192
(207) 582-5192
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
ALLS2960
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203680000
PROVIDER NUMBER
ME
Enumeration date
06/23/2009
Last updated
02/27/2017
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