Individual
MRS. JULIE GORDON PACKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 HARVEST HILL RD, WINDHAM, ME 04062-5788
(207) 595-7233
Mailing address
111 HARVEST HILL RD, WINDHAM, ME 04062-5788
(207) 595-7233
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431896800
—
ME
Enumeration date
01/23/2009
Last updated
03/01/2015
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