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Individual

PAIGE ANNE LANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
210 14TH ST, BANGOR, ME 04401
(207) 945-3254
Mailing address
2487 OHIO ST, BANGOR, ME 04401-2032
(207) 949-2505

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1264
ME

Other

Enumeration date
08/12/2010
Last updated
07/23/2026
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