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Individual

MRS. THERESA S SOOHEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
25 OXBOW LANE, WHITEFIELD, ME 04353
(207) 549-3542
(888) 253-6401
Mailing address
PO BOX 60, WHITEFIELD, ME 04353-0060
(207) 549-3502
(888) 253-6401

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
05/22/2009
Last updated
05/22/2009
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