Individual
MR. SHAWN KENNETH HODGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
726 WESTERN AVENUE, MANCHESTER, ME 04351
(207) 512-3151
(888) 293-3442
Mailing address
PO BOX 251, MANCHESTER, ME 04351-0251
(207) 512-3151
(888) 293-3442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11105
ME
Other
Enumeration date
08/05/2007
Last updated
11/28/2011
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