Michelle Shore

NPI #1053714824 in Bangor, Maine

Provider Information

NPI Number
1053714824
Entity Type
Individual
Name
Michelle Shore
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Enumeration Date
Oct 7, 2014
Last Updated
Oct 7, 2014

Practice Location

Address
444 STILLWATER AVE
Address 2
SUITE 204
City
Bangor
State
Maine
ZIP Code
04401-3521
Phone
(207) 299-1414

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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