| Sml Pc | |
|
331 Pine St Lewiston ME 04240-6308 | |
| (207) 346-1663 | |
| (207) 334-6177 |
| Full Name | Sml Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 331 Pine St, Lewiston, Maine |
| Authorized Official Name and Position | Shaunte M Levasseur (OWNER) |
| Authorized Official Contact | 2073461663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sml Pc 49 Jefferson St Auburn ME 04210-4832 Ph: (207) 346-1663 | Sml Pc 331 Pine St Lewiston ME 04240-6308 Ph: (207) 346-1663 |
| NPI Number | 1982278081 |
|---|---|
| Provider Enumeration Date | 05/14/2021 |
| Last Update Date | 05/14/2021 |
| Certification Date | 05/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982278081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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