Individual
SHEILA RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSWCC
Contact information
Practice address
1066 KENDUSKEAG AVE, BANGOR, ME 04401-2914
(207) 941-2855
(207) 941-2835
Mailing address
49 RUTLAND ST, BANGOR, ME 04401-4552
(207) 947-3576
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
MC6096
ME
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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