Individual
JUDY MAGNUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 WESCOTT RD, SOUTH PORTLAND SCHOOL DEPARTMENT, SOUTH PORTLAND, ME 04106-3420
(207) 871-0555
(207) 871-0559
Mailing address
130 WESCOTT RD, SOUTH PORTLAND SCHOOL DEPARTMENT, SOUTH PORTLAND, ME 04106-3420
(207) 871-0555
(207) 871-0559
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP605
ME
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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