Susan Shaw I, LCPC
NPI #1154795680 in South Portland, Maine
Provider Information
- NPI Number
- 1154795680
- Entity Type
- Individual
- Name
- Susan Shaw I, LCPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCPC
- Enumeration Date
- Nov 20, 2015
- Last Updated
- Nov 20, 2015
Practice Location
- Address
- 50 LYDIA LN
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-2156
- Phone
- (207) 331-6102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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