MR. Shane Edward Theriault, LSW-C
NPI #1649397928 in Caribou, Maine
Provider Information
- NPI Number
- 1649397928
- Entity Type
- Individual
- Name
- MR. Shane Edward Theriault, LSW-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Credential
- LSW-C
- Enumeration Date
- Mar 23, 2007
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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