Individual
MAEVE CORISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
340 SOKOKIS TRL, EAST WATERBORO, ME 04030-5411
(267) 530-0830
Mailing address
50 ADAMS ST APT 1, BIDDEFORD, ME 04005-2995
(267) 530-0830
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ST3003
ME
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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