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1104033034
JAMES TIBBETTS
WATERVILLE, ME
NPI
1104033034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME lc1094)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- JAMES TIBBETTS LADC
8 HIGHWOOD ST
WATERVILLE, ME 04901-5740
Phone number: 207-861-3488
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Mailing Address
-- JAMES TIBBETTS LADC
8 HIGHWOOD ST
WATERVILLE, ME 04901-5740
Phone number: 207-861-3488
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