Individual
JESSICA CIESLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
222 AUBURN ST STE 1G, PORTLAND, ME 04103-6001
(207) 797-8255
(207) 797-5560
Mailing address
222 AUBURN ST STE 1G, PORTLAND, ME 04103-6001
(207) 797-8255
(207) 797-5560
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2236
ME
Other
Enumeration date
02/03/2012
Last updated
01/29/2013
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