Individual
MADILYN TERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
74 WINTHROP ST, AUGUSTA, ME 04330-5544
(207) 613-0415
(207) 480-1562
Mailing address
74 WINTHROP ST, AUGUSTA, ME 04330-5544
(207) 613-0415
(207) 480-1562
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
XL3583
ME
Other
Enumeration date
11/12/2009
Last updated
03/09/2016
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