TIMOTHY FULLER

BIDDEFORD, ME
NPI1114567807
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  LC21772)
Enumeration Date2020-01-09
Last Update Date2023-01-26
Business Address
TIMOTHY FULLER LMSW-CC
314 ALFRED ST
BIDDEFORD, ME 04005-3102
Phone number: 207-216-2637
Mailing Address
TIMOTHY FULLER LMSW-CC
43 FRANCES ST
PORTLAND, ME 04102-2509
Phone number: 207-505-0227
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