CLIFFORD THIBODEAU

PORTLAND, ME
NPI1427391036
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  LC3438)
Enumeration Date2013-04-02
Last Update Date2013-04-02
Business Address
-- CLIFFORD THIBODEAU LADC, CCS
65 INDIA ST
PORTLAND, ME 04101-4209
Phone number: 207-775-4790
Mailing Address
-- CLIFFORD THIBODEAU LADC, CCS
65 INDIA ST
PORTLAND, ME 04101-4209
Phone number: 207-775-4790
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