Individual
LARISA G WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 RIGA ROAD, CHINA, ME 04358
(207) 557-2545
Mailing address
33 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-5128
(207) 626-3497
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SAS1763
ME
Other
Enumeration date
11/19/2009
Last updated
04/24/2020
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