Individual
MARK THURLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
21 NORTH RD, WINN, ME 04495-5329
(207) 738-3032
Mailing address
21 NORTH RD, WINN, ME 04495-5329
(207) 738-3032
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC15393
ME
1041C0700X
Clinical Social Worker
MC14221
ME
Other
Enumeration date
07/09/2013
Last updated
02/08/2016
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