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Individual
PEGGY BEAULIEU
Active
Individual
PEGGY BEAULIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA13655
FL
235Z00000X
Speech-Language Pathologist
Primary
SP752
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA13655
SPEECH LANGUAGE PATHOLOGIST LICENSE
FL
01
—
SP752
STATE OF MAINE, SPEECH LANGUAGE PATHOLOGIST LICENSE
ME
Enumeration date
10/30/2015
Last updated
10/30/2015
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