Individual
CHRISTIAN THIBEAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1695 MAIN ST FL 400, SPRINGFIELD, MA 01103-1063
(413) 739-5572
Mailing address
23 BOG HOLLOW RD, SPRINGFIELD, MA 01109-1420
(518) 337-8182
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/21/2015
Last updated
06/21/2015
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