Most Relevant Information
Provider Data
| NPI Number: | 1003299264 |
| Provider Name: | SHIRLEY PARKER LADC, CCS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | LC127 |
Most Important Dates
| Enumeration Date: | 07/07/2015 |
| Last Updated: | 07/07/2015 |
Provider Practice Location
98 MAIN ST
BOWDOINHAM
ME
040084426
Practice Location Phone/Fax
| Phone: | 2076663690 |
| Fax: |
Provider Mailing Location
98 MAIN ST
BOWDOINHAM
ME
040084426
Provider Mailing Phone/Fax
| Phone: | 2076663690 |
| Fax: |