Individual
MRS. JUDY LUCILE MACKENZIE-LAXAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
65 WASHINGTON AVE, PORTLAND, ME 04101-2617
(207) 615-5791
(207) 885-5791
Mailing address
12 ABIGAIL WAY, SCARBOROUGH, ME 04074-8246
(207) 885-5791
(207) 885-5791
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SPA 723
ME
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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