Individual
MRS. KATIE TALON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
50 LYDIA LN, SOUTH PORTLAND, ME 04106-2156
(207) 215-4782
Mailing address
PO BOX 92, NORTH MONMOUTH, ME 04265-0092
(207) 215-4782
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC13887
ME
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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