BRUCE CONRAD ST. THOMAS

SOUTH PORTLAND, ME
NPI1497086714
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
(Licence: ME  CC458)
Additional Taxonomies106H00000X Marriage & Family Therapist
(Licence: ME  MF301)
Enumeration Date2010-01-26
Last Update Date2010-01-26
Business Address
DR. BRUCE CONRAD ST. THOMAS ED.,D.
545 WESTBROOK ST
SOUTH PORTLAND, ME 04106-1909
Phone number: 207-772-4789
Mailing Address
DR. BRUCE CONRAD ST. THOMAS ED.,D.
545 WESTBROOK ST
SOUTH PORTLAND, ME 04106-1909
Phone number: 207-772-4789