RICHARD LOUIS THIBAULT

LYNN, MA
NPI1750938940
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-08-22
Last Update Date2019-08-22
Business Address
RICHARD LOUIS THIBAULT
11 CIRCLE AVE
LYNN, MA 01905-3050
Phone number: 781-595-2413
Mailing Address
RICHARD LOUIS THIBAULT
15 WINTER ST APT 9
SALEM, MA 01970-3865
Phone number: 978-786-2788
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