Individual
TABITHA POLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 PALMER ST, CALAIS, ME 04619-1300
(207) 454-0775
Mailing address
43 HATCH DR, SUITE 210, CARIBOU, ME 04736-2161
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528504743
—
ME
Enumeration date
01/11/2017
Last updated
02/08/2017
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