Individual
BREANNA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 TANDBERG TRL UNIT 7, WINDHAM, ME 04062-6417
(207) 893-1599
(207) 591-4986
Mailing address
PO BOX 153, RAYMOND, ME 04071-0153
(207) 899-7931
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ST2739
ME
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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