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NPI Code Detail

MEDICARE: MARK E. THURLOW LCSW

MEDICARE: MARK E. THURLOW LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerMC14221ME
21041C0700XClinical Social WorkerLC15393ME

General Provider Information

NPI Number : 1003257825
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK E. THURLOW LCSW
Provider Business Mailing Address
First Line : 21 NORTH RD
Second Line :
City : WINN
State : ME
Zip : 04495-5329
Country : US
Telephone Number : 207-738-3032
Fax Number :
Provider Business Practice Location Address
First Line : 53 BAXTER BLVD STE 3
Second Line :
City : PORTLAND
State : ME
Zip : 04101-1827
Country : US
Telephone Number : 603-883-0005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2013
Last Update Date : 06/17/2026

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Directions to “ MARK E. THURLOW LCSW” Practice Location

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