Individual
LEAH CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
18 KELLOGG ST APT 2, PORTLAND, ME 04101-4376
(203) 217-8969
Mailing address
18 KELLOGG ST APT 2, PORTLAND, ME 04101-4376
(203) 217-8969
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4276
ME
Other
Enumeration date
05/07/2010
Last updated
05/07/2010
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