Individual
SHAYNE CROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
469 MAIN ST STE 304, SPRINGVALE, ME 04083
(207) 502-0056
Mailing address
PO BOX 1081, ALFRED, ME 04002-1081
(072) 502-5043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC16296
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164484093
—
ME
Enumeration date
01/29/2014
Last updated
08/14/2019
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