Individual
JULIE CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 TEXAS AVE, BANGOR, ME 04401-4324
(207) 947-4557
Mailing address
103 TEXAS AVE, BANGOR, ME 04401-4324
(207) 947-4557
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202009083
VA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/29/2018
Last updated
03/27/2019
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