Individual
LIONEL HARVEY THIBAULT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LNA
Contact information
Practice address
17 93RD ST, KEENE, NH 03431-3748
(603) 357-5270
Mailing address
167 MARCY HILL RD, SWANZEY, NH 03446-2110
(603) 831-2203
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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