Individual
JACQUELINE R DELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CF-SLP
Contact information
Practice address
222 AUBURN ST, PORTLAND, ME 04103-6002
(207) 797-8255
(207) 797-5560
Mailing address
222 AUBURN ST STE 1G, PORTLAND, ME 04103-6012
(207) 797-8255
(207) 797-5560
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ST2995
ME
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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