Individual
SHAUN KIERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1155 LISBON ST, LEWISTON, ME 04240-5025
(207) 783-9141
Mailing address
1155 LISBON ST, LEWISTON, ME 04240-5025
(207) 783-9141
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC1381
ME
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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