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Individual

DOROTHY BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
144 PRITHAM AVENUE, GREENVILLE, ME 04441
(207) 695-3708
(207) 695-3709
Mailing address
131 COBURN AVE W, JACKMAN, ME 04945-5317
(207) 668-2139

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2117
ME

Other

Enumeration date
09/13/2011
Last updated
09/13/2011
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