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1164795084
ERIC ANTONIO THOMPSON
PORTLAND, ME
NPI
1164795084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME MC13079)
Enumeration Date
2012-02-23
Last Update Date
2012-02-23
Business Address
Mr. ERIC ANTONIO THOMPSON LMSW-cc
477 CONGRESS ST STE 408
PORTLAND, ME 04101-3431
Phone number: 207-773-7811
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Mailing Address
Mr. ERIC ANTONIO THOMPSON LMSW-cc
899 RIVERSIDE ST
PORTLAND, ME 04103-1070
Phone number: 207-871-1200
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