Individual
MRS. KRISTA MARIE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
19 KENDALL LN, FREEPORT, ME 04032-1413
(207) 865-6051
Mailing address
35 KESWICK RD, SOUTH PORTLAND, ME 04106-5335
(207) 423-4844
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1859
ME
Other
Enumeration date
01/05/2007
Last updated
09/08/2010
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