Individual
MRS. JENNIFER E FISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
117 BENNOCH RD, ORONO, ME 04473-3620
(207) 866-4914
Mailing address
1022 CARMEL RD N, HAMPDEN, ME 04444-3207
(207) 862-3918
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1362
ME
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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