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Individual

EMILY LORRAINE THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
66 BARIBEAU DR, BRUNSWICK, ME 04011-3230
(817) 613-6106
Mailing address
16 HARWARD ST, BATH, ME 04530-2918
(817) 613-6106

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC7645
ME

Other

Enumeration date
05/12/2022
Last updated
05/12/2022
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