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Individual

ANGELA MOTTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 ENTERPRISE DRIVE, BIDDEFORD, ME 04005
(207) 699-8325
Mailing address
29 STATE ST APT 201, BIDDEFORD, ME 04005-5223
(774) 488-0836

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
77205
MA
235Z00000X
Speech-Language Pathologist
Primary
SP3563
ME

Other

Enumeration date
04/23/2019
Last updated
09/12/2023
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