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Individual

ALLISON R PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
470 FOREST AVE, SUITE 202, PORTLAND, ME 04103
(800) 308-7503
Mailing address
819 CONGRESS ST, APT. 2, PORTLAND, ME 04102
(207) 263-8777

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL3654
ME

Other

Enumeration date
05/11/2012
Last updated
05/11/2012
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