TIMOTHY FULLER

PORTLAND, ME
NPI1114567807
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  LC21772)
Enumeration Date2020-01-09
Last Update Date2025-12-16
Business Address
TIMOTHY FULLER LCSW
844 STEVENS AVE
PORTLAND, ME 04103-2676
Phone number: 207-505-0227
Mailing Address
TIMOTHY FULLER LCSW
844 STEVENS AVE
PORTLAND, ME 04103-2676
Phone number: 207-505-0227
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