Individual
DENISE M THORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 CAMPUS AVE STE A&B, LEWISTON, ME 04240
(207) 755-3434
(207) 784-6826
Mailing address
PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8553
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MC15756
ME
1041C0700X
Clinical Social Worker
Primary
MC15756
ME
Other
Enumeration date
08/28/2017
Last updated
07/10/2018
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