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Individual

MS. TERRI LYNN THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
211 DINGLEY SPRING RD, GORHAM, ME 04038-2169
(207) 415-0057
Mailing address
211 DINGLEY SPRING RD, GORHAM, ME 04038-2169
(207) 415-0057

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL4170
ME

Other

Enumeration date
07/05/2013
Last updated
07/05/2013
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