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Individual

MS. CHRISTINE R TALBOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
77 EXCHANGE ST, SUITE 403, BANGOR, ME 04401
(207) 941-8010
(207) 941-8020
Mailing address
PO BOX 688, 61 PERKINS ST, CASTINE, ME 04421
(207) 326-9900
(207) 941-8020

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC2328
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
079134
ANTHEM BLUE CROSS SHIELD
05
431537599
ME
Enumeration date
03/27/2007
Last updated
06/04/2009
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