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Organization

SHORELINE NEUROBEHAVIORAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL SNOW GIRARD CPC (BILLING MANAGER)
(207) 934-5858
Entity
Organization

Contact information

Practice address
45 CUNNINGHAM RD, FREEPORT, ME 04032-6312
(207) 934-5858
Mailing address
45 CUNNINGHAM RD, FREEPORT, ME 04032-6312
(207) 934-5858

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary

Other

Enumeration date
07/09/2014
Last updated
07/09/2014
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