William Blaine-Wallace
William Blaine-Wallace is a Professional Counselor in Farmington, Maine. Practices as a sole proprietor. Licensed in Maine.
- Licensed in
- ME
- In the registry since
- 2017
Practice location Address checks out
456 New Vineyard RdFarmington, ME 04938-5216
Phone: (207) 491-9645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence XP4415 (ME) |
|---|
Record details
| NPI number | 1730612839 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 5, 2017 |
| Last updated in NPPES | April 5, 2017 |
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