Individual
ANNE BOLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
100 MAIN STREET, BAR MILLS, ME 04004-0001
(207) 929-2316
Mailing address
PO BOX 38, BAR MILLS, ME 04004-0038
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1789
ME
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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