Individual
SARA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 OLD WINTHROP RD, APT 206, AUGUSTA, ME 04330-4946
(802) 249-0143
Mailing address
30 OLD WINTHROP RD, APT 206, AUGUSTA, ME 04330-4946
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ST2225
ME
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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