Individual
TAYLOR ANTANAVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938-6144
(207) 779-2620
Mailing address
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938-6144
(207) 779-2629
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2951
ME
Other
Enumeration date
06/14/2019
Last updated
11/08/2024
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