Search › Maine › 104100000X
Cam Theriault, LSW-C
NPI 1740558469 · on the registry since 2011 · sole proprietor
Practice
- Address
- 899 Riverside St
Portland, ME 04103 - Phone
- (207) 871-1200
- Fax
- (207) 871-1232
- Organisation at this address
- Spurwink Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-12-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine