Individual
JENNA CLOUTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
901 WASHINGTON AVE, PORTLAND, ME 04103-2737
(207) 871-1211
Mailing address
901 WASHINGTON AVE, PORTLAND, ME 04103-2737
(207) 871-1211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ST2431
ME
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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