MATTHEW JOHN THIBAULT

WINDHAM, ME
NPI1285835611
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: ME  LC12551)
Enumeration Date2007-05-31
Last Update Date2019-01-04
Business Address
MATTHEW JOHN THIBAULT LCSW
86 TANDBERG TRAIL
WINDHAM, ME 04062-3411
Phone number: 207-893-0386
Mailing Address
MATTHEW JOHN THIBAULT LCSW
PO BOX 1360
WINDHAM, ME 04062-1360
Phone number: 207-893-0386
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