Individual
MADISON SHMALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
71 US ROUTE 1 STE E, SCARBOROUGH, ME 04074-7168
(207) 773-9931
Mailing address
71 US ROUTE 1 STE E, SCARBOROUGH, ME 04074-7168
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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