Jeannin Thibodeau, LCSW

NPI #1205967411 in Sanford, Maine

Provider Information

NPI Number: 1205967411
Entity Type: Individual
Name: Jeannin Thibodeau, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Mar 8, 2007
Last Updated: Apr 22, 2022

Practice Location

Address: 30 DEVOTION AVE
City: Sanford
State: Maine
ZIP Code: 04073
Phone: (207) 742-7264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary
Social Worker - Clinical — Clinical	1041C0700X

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