Individual
MRS. GWYNETH PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
440 MINOT AVE, AUBURN, ME 04210-4332
(207) 784-3573
Mailing address
78 LAMB ST APT 1, WESTBROOK, ME 04092-4206
(603) 781-2057
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP3465
ME
Other
Enumeration date
12/31/2021
Last updated
12/31/2021
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