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Individual

MRS. BRIANNA DIANE ROBBINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
106 WEEKS RD, GORHAM, ME 04038-1607
(207) 222-1346
Mailing address
4 FLORIDA DR, WINDHAM, ME 04062-5492
(207) 222-1346

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1547
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SP1547
MAINE STATE LICENSURE - SPEECH LANGUAGE PATHOLOGY
ME
Enumeration date
09/26/2011
Last updated
09/26/2011
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