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Individual

STEPHANIE DIANA THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
210 WATER ST, SUITE #1, HALLOWELL, ME 04347-1505
(207) 622-0701
(207) 622-0701
Mailing address
210 WATER ST, SUITE #1, HALLOWELL, ME 04347-1505
(207) 622-0701
(207) 622-0701

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP777
ME

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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