person
Ellen Miriam Grunblatt, MD,LCPC
Professional Counselor in Farmington, Maine
NPI 1114019759

Ellen Miriam Grunblatt is a Professional Counselor based in Farmington, ME and is specialized in Professional. Ellen Miriam Grunblatt practices in Farmington, ME and has the professional credentials of MD,LCPC. The NPI Number for Ellen Miriam Grunblatt is 1114019759 and holds a License No. XL3022 (Maine).

The current practice location address for Ellen Miriam Grunblatt is 672 Wilton Rd, Farmington, ME and can be reached out via phone at 207-778-5792.

Location: 672 Wilton Rd, Farmington, ME, 04938-6138
person
Provider Profile Details
NPI Number
1114019759
Provider Name
Ellen Miriam Grunblatt
Credential
MD,LCPC
Provider Entity Type
Individual
Gender
Female
Address
672 Wilton Rd, Farmington, ME, 04938-6138
Phone Number
207-778-5792
Fax Number
Provider Enumeration Date
09/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
672 Wilton Rd
City
State
Zip
04938-6138
Phone Number
207-778-5792
Fax Number
person
Provider Business Mailing Address Details
Address
672 Wilton Rd
City
State
Zip
04938-6138
Phone Number
207-778-5792
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
XL3022 (Maine)
Definition
Definition to come...
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