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Individual

JEANNE CAROLYN OTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
327 MAIN ST, SOUTHWEST HARBOR, ME 04679-4403
(207) 244-5502
Mailing address
PO BOX 255, SOUTHWEST HARBOR, ME 04679-0255
(207) 244-5502

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP401
ME

Other

Enumeration date
10/25/2010
Last updated
10/25/2010
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