WYATT T COULON

PORTLAND, ME
NPI1649912999
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  LC19827)
Enumeration Date2022-04-08
Last Update Date2025-04-01
Business Address
WYATT T COULON LCSW
22 BRAMHALL ST
PORTLAND, ME 04102-3175
Phone number: 207-662-1888
Mailing Address
WYATT T COULON LCSW
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-0111
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