Individual
JENESSA CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 PARKWAY S, BREWER, ME 04412-1628
(207) 989-7300
Mailing address
PO BOX 199, STILLWATER, ME 04489-0199
(207) 251-3599
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ST2959
ME
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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