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Individual

COLEEN ATHERLEY-FAHEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
296 BETTS RD, ORRINGTON, ME 04474-3842
(207) 478-8627
Mailing address
296 BETTS RD, ORRINGTON, ME 04474-3842

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1164
ME

Other

Enumeration date
10/07/2010
Last updated
08/30/2013
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