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1548667645
TIMOTHY F. GAUTHIER
SPRINGVALE, ME
NPI
1548667645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME CAC5134)
Enumeration Date
2014-12-04
Last Update Date
2014-12-04
Business Address
-- TIMOTHY F. GAUTHIER CADC
474 MAIN ST
SPRINGVALE, ME 04083-1409
Phone number: 207-324-1500
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Mailing Address
-- TIMOTHY F. GAUTHIER CADC
78 ATLANTIC PL
SOUTH PORTLAND, ME 04106-2316
Phone number: 207-842-7701
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