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Individual

JAMES M TALBOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
76 PLEASANT ST, BRUNSWICK, ME 04011-2203
(207) 721-0214
(207) 721-0215
Mailing address
176 PLEASANT ST, BRUNSWICK, ME 04011-2250
(207) 721-0214
(207) 721-0215

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133120000
ME
Enumeration date
08/19/2010
Last updated
08/19/2010
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