Individual
DANIELLE FOSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 NORTHPORT AVE, BELFAST, ME 04915-6009
(207) 338-9349
Mailing address
118 NORTHPORT AVE, BELFAST, ME 04915-6009
(207) 338-9349
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ST2435
ME
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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