Individual
MARJORY K SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 BLACKBERRY HILL RD, BERWICK, ME 03901-2707
(207) 698-4465
Mailing address
PO BOX 820, NORTH BERWICK, ME 03906-0820
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP797
ME
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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