Individual
MS. KELLY L WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
175 UNION ST, BANGOR, ME 04401
(207) 941-2850
(207) 941-2852
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1943
ME
Other
Enumeration date
07/15/2009
Last updated
03/30/2010
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