Individual
JEANNIN THIBODEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
30 DEVOTION AVE, SANFORD, ME 04073
(207) 742-7264
Mailing address
45 PORTLAND RD, STE 7, #294, KENNEBUNK, ME 04043-6660
(207) 742-7264
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
13316
FL
1041C0700X
Clinical Social Worker
Primary
LC19797
ME
Other
Enumeration date
03/08/2007
Last updated
04/22/2022
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