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Organization

LEWISTON SCHOOL DEPARTMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DONNA FAIRBANKS (SPEECH THEREAPIST)
(207) 795-4140
Entity
Organization

Contact information

Practice address
145 NORTHTEMPLE ST., LEWISTON, ME 04240
(207) 795-1440
Mailing address
145 NORTH TEMPLE STREET, LEWISTON, ME 04220

Taxonomy

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

Other

Enumeration date
10/15/2010
Last updated
10/15/2010
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