Individual
TRACY GAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
918 SABATTUS STREET, LEWISTON, ME 04240
(207) 782-1680
(207) 782-2534
Mailing address
538 WESTERN AVENUE, AUGUSTA, ME 04330
(207) 621-1125
(207) 626-9357
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP649
ME
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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