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1255799185
PATRICE THIBODEAU
FARMINGTON, MO
NPI
1255799185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2015035786)
Enumeration Date
2016-02-06
Last Update Date
2016-02-06
Business Address
-- PATRICE THIBODEAU LCSW
400 N WASHINGTON ST SUITE 116
FARMINGTON, MO 63640-1716
Phone number: 573-218-9653
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Mailing Address
-- PATRICE THIBODEAU LCSW
2909 INDEPENDENCE ST
CAPE GIRARDEAU, MO 63703-5044
Phone number: 573-803-1402
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