Most Relevant Information
Provider Data
NPI Number: | 1003257825 |
Provider Name: | MARK THURLOW LCSW |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | MC14221 |
Most Important Dates
Enumeration Date: | 07/09/2013 |
Last Updated: | 02/08/2016 |
Provider Practice Location
21 NORTH RD
WINN
ME
044955329
Practice Location Phone/Fax
Phone: | 2077383032 |
Fax: |
Provider Mailing Location
21 NORTH RD
WINN
ME
044955329
Provider Mailing Phone/Fax
Phone: | 2077383032 |
Fax: |