Individual
GEORGIA SHANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
82 MAIN ST, BRIDGTON, ME 04009-1128
(207) 831-5108
Mailing address
26 BASSWOOD RD, NAPLES, ME 04055-5130
(207) 831-5108
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL8198
ME
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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