Individual
AMANDA TRICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
83 MILTON ST, PORTLAND, ME 04103-1475
(609) 744-6448
Mailing address
83 MILTON ST, PORTLAND, ME 04103-1475
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2433
ME
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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