Individual
SHANE DAVIDO-DA SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW-CC
Contact information
Practice address
49 FLORIDA AVE, BANGOR, ME 04401-3005
(207) 573-1122
Mailing address
334 UNION ST APT 1, BANGOR, ME 04401-4665
(203) 767-5747
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC21285
ME
Other
Enumeration date
10/12/2022
Last updated
02/19/2024
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