SONYA L THERIAULT

SOUTH PORTLAND, ME
NPI1427532027
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  LC17477)
Enumeration Date2018-09-19
Last Update Date2018-09-19
Business Address
SONYA L THERIAULT LCSW
100 WATERMAN DR
SOUTH PORTLAND, ME 04106-2880
Phone number: 207-805-0193
Mailing Address
SONYA L THERIAULT LCSW
20 FROST HILL RD
PORTLAND, ME 04103-2255
Phone number: 207-831-4203
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