Most Relevant Information
Provider Data
| NPI Number: | 1003671298 |
| Provider Name: | TIMOTHY ALAN EACHUS LMSWCC |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | MC22154 |
Most Important Dates
| Enumeration Date: | 02/16/2024 |
| Last Updated: | 02/16/2024 |
Provider Practice Location
153 PARK ROW STE 103
BRUNSWICK
ME
040112053
Practice Location Phone/Fax
| Phone: | 2076076461 |
| Fax: |
Provider Mailing Location
153 PARK ROW STE 103
BRUNSWICK
ME
040112053
Provider Mailing Phone/Fax
| Phone: | 2076076461 |
| Fax: |