Individual
MRS. DEBORAH ANN KNIGHTON TALLARICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LCPC
Contact information
Practice address
884 BROADWAY, SOUTH PORTLAND, ME 04106-4371
(207) 653-7823
Mailing address
83 SAWYER RD, SCARBOROUGH, ME 04074-9143
(207) 653-7823
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC2680
ME
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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