Matthew John Thibault, LCSW

NPI #1285835611 in Windham, Maine

Provider Information

NPI Number
1285835611
Entity Type
Individual
Name
Matthew John Thibault, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
May 31, 2007
Last Updated
Jan 4, 2019

Practice Location

Address
86 TANDBERG TRAIL
State
Maine
ZIP Code
04062-3411
Phone
(207) 893-0386

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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