Individual
MS. LAUREEN LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
577 MOUNT VIEW RD, THORNDIKE, ME 04986-3307
(207) 568-4609
Mailing address
397 OLD BELFAST RD, FRANKFORT, ME 04438-3408
(207) 322-3712
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1204
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP1204
MAINECARE
ME
Enumeration date
08/31/2010
Last updated
08/31/2010
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