Individual
MS. LOUISE PACKNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, SLP
Contact information
Practice address
61 RACKLEFF ST, PORTLAND, ME 04103-3040
(207) 772-4204
(207) 772-2590
Mailing address
61 RACKLEFF ST, PORTLAND, ME 04103-3040
(207) 772-4204
(207) 772-2590
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP529
ME
Other
Enumeration date
03/15/2008
Last updated
03/15/2008
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