Individual
TAMMY THORBJORNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 PORT CLYDE ROAD, TENANTS HARBOR, ME 04860
(207) 542-9627
Mailing address
P.O. BOX 481, TENANTS HARBOR, ME 04860
(207) 542-9627
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC12677
ME
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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