Individual
JEAN A. ROUILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
15 STRAWBERRY AVE, LEWISTON, ME 04240-5941
(207) 777-7740
(207) 777-7748
Mailing address
15 STRAWBERRY AVE, PO BOX 819, LEWISTON, ME 04240-5941
(207) 777-7740
(207) 777-7748
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP475
ME
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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