Individual
REBECCA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 ASH SWAMP ROAD, SCARBOROUGH, ME 04074
(207) 252-8237
Mailing address
119 ASH SWAMP ROAD, SCARBOROUGH, ME 04074
(207) 252-8237
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
ME
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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