MR. Edward Joseph Thibodeau, MSSA
NPI #1063485761 in Canandaigua, New York
Provider Information
- NPI Number
- 1063485761
- Entity Type
- Individual
- Name
- MR. Edward Joseph Thibodeau, MSSA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSSA
- Enumeration Date
- Feb 12, 2006
- Last Updated
- Oct 2, 2010
Practice Location
- Address
- 5234 OVERLOOK LN
- City
- Canandaigua
- State
- New York
- ZIP Code
- 14424-9111
- Phone
- (585) 331-9320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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