Individual
NEALLIE JENNELLE BUDWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. ED
Contact information
Practice address
5 JUDGE HASTY LN, SCARBOROUGH, ME 04074-7320
(207) 885-5367
Mailing address
5 JUDGE HASTY LN, SCARBOROUGH, ME 04074-7320
(207) 885-5367
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208450000
—
ME
Enumeration date
06/02/2009
Last updated
06/02/2009
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