Individual
MRS. SHANA MARIE PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, MHRT/C
Contact information
Practice address
100 BRICKHILL AVE, SOUTH PORTLAND, ME 04106-1999
(207) 619-8313
(207) 775-2255
Mailing address
100 BRICKHILL AVE, SOUTH PORTLAND, ME 04106-1999
(207) 619-8313
(207) 775-2255
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LS7681
ME
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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