Individual
TIMOTHY L CORMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
89 MAIN ST, MEXICO, ME 04257-1440
(207) 364-1717
(207) 364-1718
Mailing address
235 MAIN ST, NORWAY, ME 04268-5943
(207) 739-2644
(207) 739-2467
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CAC5072
ME
Other
Enumeration date
06/26/2013
Last updated
06/28/2013
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