Individual
MR. JOHN ANTHONY TALBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 MOOSEHEAD TRL STE 5, NEWPORT, ME 04953-4056
(207) 368-5189
Mailing address
118 MOOSEHEAD TRL STE 5, NEWPORT, ME 04953-4056
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC17474
ME
Other
Enumeration date
03/30/2020
Last updated
08/29/2024
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