Individual
SUSAN WEBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 GEDNEY ST, AUGUSTA SCHOOL DEPARTMENT, AUGUSTA, ME 04330-4440
(207) 626-2464
(207) 626-2444
Mailing address
PO BOX 294, WAYNE, ME 04284-0294
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1310
ME
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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