JOHN THIBODEAU

PORTLAND, ME
NPI1205988565
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  LC10575)
Enumeration Date2007-01-17
Last Update Date2007-07-08
Business Address
-- JOHN THIBODEAU LCSW
1011 FOREST AVE
PORTLAND, ME 04103-3304
Phone number: 207-553-2069
Mailing Address
-- JOHN THIBODEAU LCSW
30 PARK ST #2
PORTLAND, ME 04101-4515
Phone number:
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