Individual
THOMAS JOHN BEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
42 CEDAR ST, BANGOR, ME 04402-0425
(207) 947-0366
Mailing address
PO BOX 425, 42 CEDAR ST, BANGOR, ME 04402-0425
(207) 947-0366
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4337
ME
Other
Enumeration date
12/22/2006
Last updated
07/09/2007
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