Individual
BETHANY JANE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
72 STRAWBERRY AVE, LEWISTON, ME 04240-5952
(207) 782-2150
Mailing address
72 STRAWBERRY AVENUE, LEWISTON, ME 04240
(207) 782-2150
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SAS2543
ME
Other
Enumeration date
08/23/2016
Last updated
02/06/2018
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