Individual
JENNIFER ELIZABETH PROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1326 US ROUTE 1, JONESBORO, ME 04648
(207) 434-6116
Mailing address
PO BOX 69, JONESBORO, ME 04648-0069
(207) 434-6116
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1200
ME
Other
Enumeration date
02/23/2007
Last updated
05/06/2024
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