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1306278841
ALYSSA THERRIAULT
AUGUSTA, ME
NPI
1306278841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC15571)
Enumeration Date
2013-08-07
Last Update Date
2021-05-21
Business Address
ALYSSA THERRIAULT LCSW
66 STONE ST
AUGUSTA, ME 04330
Phone number: 207-873-2136
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Mailing Address
ALYSSA THERRIAULT LCSW
67 EUSTIS PKWY
WATERVILLE, ME 04901-5173
Phone number: 207-509-1470
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