Individual
MS. KIM WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
58 BARIBEAU DR, BRUNSWICK, ME 04011-3218
(207) 373-4613
(207) 373-3640
Mailing address
58 BARIBEAU DR, BRUNSWICK, ME 04011-3218
(207) 373-4613
(207) 373-3640
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1211
ME
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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