Individual
SHELBY LYNNE COGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
30 DANFORTH ST STE 311, PORTLAND, ME 04101-4574
(207) 619-3356
(207) 300-6085
Mailing address
PO BOX 8484, PORTLAND, ME 04104-8484
(207) 619-3356
(207) 300-6085
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC24721
ME
Other
Enumeration date
04/20/2023
Last updated
07/02/2025
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