Individual
MS. JOHANNA LEE GILLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCCSLP
Contact information
Practice address
79 CAT MOUSAM RD, KENNEBUNK, ME 04043-6924
(207) 985-3030
Mailing address
158 JENKINS RD, SACO, ME 04072-9670
(207) 571-9527
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1387
ME
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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