Individual
MRS. KACIE NOELLE LONGACRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
368 MINOT AVE STE 3, AUBURN, ME 04210-4331
(207) 333-5022
Mailing address
15 MEMORIAL ST, LISBON, ME 04250-6402
(207) 576-5949
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ST2032
ME
Other
Enumeration date
09/13/2010
Last updated
12/21/2023
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