Individual
CARA BENGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 WASHINGTON AVE, PORTLAND, ME 04101-2665
(207) 761-8402
Mailing address
75 WASHINGTON AVE, PORTLAND, ME 04101-2665
(207) 761-8402
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ST2458
ME
Other
Enumeration date
10/16/2015
Last updated
01/04/2017
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