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Individual

JOHN A, MILLHOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
EDD

Contact information

Practice address
200 PROFESSIONAL DRIVE, SCARBOROUGH, ME 04074-8434
(207) 883-0711
(207) 883-2204
Mailing address
200 PROFESSIONAL DRIVE, SCARBOROUGH, ME 04074-8434
(207) 883-0711
(207) 883-2204

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS447
ME

Other

Enumeration date
04/08/2006
Last updated
06/30/2010
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