Individual
MARCY L KENISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 LAKE AUBURN AVE, AUBURN, ME 04210-6003
(207) 784-5467
Mailing address
35 LAKE AUBURN AVE, AUBURN, ME 04210-6003
(207) 784-5467
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP778
ME
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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