Individual
MS. DEBORAH LYNN HISTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
7 SUNSET RD, SCARBOROUGH, ME 04074-9536
(207) 831-6815
Mailing address
7 SUNSET RD, SCARBOROUGH, ME 04074-9536
(207) 831-6815
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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