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Individual

MS. ELIZABETH NORTHINGTON KALIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA CCC SLP

Contact information

Practice address
19 EASTLAWN RD, PORTLAND, ME 04103-1912
(207) 650-0264
Mailing address
19 EASTLAWN RD, PORTLAND, ME 04103-1912
(207) 650-0264

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1194
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
027862
ANTHEM BCBS
ME
05
316060099
ME
Enumeration date
01/29/2007
Last updated
12/28/2023
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