Individual
DONNA MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 ROGERS RD, KITTERY, ME 03904-1458
(207) 439-1331
(207) 439-5407
Mailing address
200 ROGERS RD, KITTERY, ME 03904-1458
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1201
ME
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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