Individual
JAN E WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
35A GURNET RD, BRUNSWICK, ME 04011-2744
(207) 725-6365
(207) 725-4211
Mailing address
35A GURNET RD, BRUNSWICK, ME 04011-2744
(207) 725-6365
(207) 725-4211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP700
ME
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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