Individual
TERESA PAWLETKOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 STARBIRD RD # 7, PORTLAND, ME 04102-1758
(603) 396-1645
Mailing address
110 STARBIRD RD # 7, PORTLAND, ME 04102-1758
(603) 396-1645
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PS1303
ME
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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