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Individual

MRS. LOIS W THIBODEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMBT

Contact information

Practice address
804 7 OAKS DR, WILMINGTON, NC 28411-7319
(910) 297-0011
Mailing address
804 7 OAKS DR, WILMINGTON, NC 28411-7319
(910) 297-0011

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NC1727
NC

Other

Enumeration date
06/11/2013
Last updated
06/11/2013
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