Individual
CARLY DAWN PELLETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
799 HANCOCK ST, RUMFORD, ME 04276-1547
(207) 369-5560
Mailing address
799 HANCOCK ST, RUMFORD, ME 04276-1547
(207) 369-5560
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SAS2284
ME
Other
Enumeration date
09/13/2013
Last updated
10/16/2019
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