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Individual

SUE SLATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
976 GREENBUSH RD, EXETER, ME 04435-3316
(207) 379-2809
Mailing address
976 GREENBUSH RD, EXETER, ME 04435-3316
(207) 379-2809

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
01/28/2010
Last updated
01/28/2010
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