Individual
MISS DIANE M KNOWLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C
Contact information
Practice address
40 BALL PARK RD, SABATTUS, ME 04280-4246
(207) 375-6961
Mailing address
40 FRANKLIN ST, 1ST FLOOR BACK, LEWISTON, ME 04240-6340
(207) 740-6072
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC3288
ME
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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