Individual
GINGER MAE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2 FOOTBRIDGE RD, BELFAST, ME 04915-7206
(207) 338-5307
Mailing address
141 PORTER ST, ROCKPORT, ME 04856-4208
(207) 596-0863
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP568
ME
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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