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NICOLE THIBODEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
27 WASHINGTON ST, CAMDEN, ME 04843-1739
(207) 415-6363
Mailing address
27 WASHINGTON ST, CAMDEN, ME 04843-1739
(207) 415-6363

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC17596
ME
1041C0700X
Clinical Social Worker
MC16161
ME

Other

Enumeration date
12/01/2016
Last updated
10/09/2020
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