MEDICARE: SHARON FILES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	XL3777	ME

General Provider Information

NPI Number	:	1225315237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON FILES

Provider Business Mailing Address
First Line	:	136 WOODFIELD RD
Second Line	:
City	:	PORTLAND
State	:	ME
Zip	:	04102-1864
Country	:	US
Telephone Number	:	207-253-5774
Fax Number	:

Provider Business Practice Location Address
First Line	:	136 WOODFIELD RD
Second Line	:
City	:	PORTLAND
State	:	ME
Zip	:	04102-1864
Country	:	US
Telephone Number	:	207-253-5774
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2011
Last Update Date	:	11/05/2011

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Directions to “ SHARON FILES ” Practice Location

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