Individual
DEBRA BORCHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 NASH ST, DIXFIELD, ME 04224-9509
(207) 562-7254
Mailing address
411 VERNON ST, BETHEL, ME 04217-4209
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
B6260000036249
WI
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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