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Individual

TIMOTHY J SCHMIDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
393 SABATTUS ST, LEWISTON, ME 04240-5439
(207) 782-9551
(207) 784-6826
Mailing address
PO BOX 4140, BOSTON, MA 02241-4140
(207) 777-4111
(207) 783-6660

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CC1896
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
286230099
ME
Enumeration date
06/07/2006
Last updated
12/03/2008
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