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1427532027
SONYA L THERIAULT
SOUTH PORTLAND, ME
NPI
1427532027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC17477)
Enumeration Date
2018-09-19
Last Update Date
2018-09-19
Business Address
SONYA L THERIAULT LCSW
100 WATERMAN DR
SOUTH PORTLAND, ME 04106-2880
Phone number: 207-805-0193
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Mailing Address
SONYA L THERIAULT LCSW
20 FROST HILL RD
PORTLAND, ME 04103-2255
Phone number: 207-831-4203
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