Individual
KIM MARIE SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
43 ACME RD, SUITE H, BREWER, ME 04412-1544
(207) 991-5818
Mailing address
43 ACME RD, SUITE H, BREWER, ME 04412-1544
(207) 991-5818
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL3651
ME
Other
Enumeration date
06/08/2010
Last updated
08/24/2013
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