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Individual

SANDY TIMBERLAKE-TIBBETTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-CC

Contact information

Practice address
14 MAINE ST, SUITE 412, BOX 49, BRUNSWICK, ME 04011-2049
(207) 798-3922
(207) 798-3944
Mailing address
14 MAINE ST, SUITE 412, BOX 49, BRUNSWICK, ME 04011-2049
(207) 798-3922
(207) 798-3944

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC13387
ME

Other

Enumeration date
01/18/2012
Last updated
01/18/2012
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