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Individual

V. ELIZABETH TAXTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
222 ST JOHN STREET, #248, PORTLAND, ME 04102
(207) 879-1011
(207) 879-1011
Mailing address
25 POLAND RD, FREEPORT, ME 04032-6804
(207) 879-1011
(207) 879-1011

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC267
ME

Other

Enumeration date
07/11/2006
Last updated
07/17/2008
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