Individual
DARCEE LYNN PANTAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
587 ELMWOOD RD, POWNAL, ME 04069-6139
(207) 688-4832
Mailing address
4 ALGONQUIN LN, BRUNSWICK, ME 04011-9512
(207) 729-9908
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1214
ME
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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