NPI 1598881047

Sheila Randall, LMSWCC

Practitioner Home Modifications Contractor Bangor, ME

Practice location

Address: 1066 Kenduskeag Ave, Bangor, ME 04401-2914
Phone: (207) 941-2855
Fax: (207) 941-2835
Mailing address: 49 Rutland St, Bangor, ME 04401-4552

Registered specialties

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X Licence MC6096 (ME)

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Registry record

NPI: 1598881047
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.