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Individual

ANN MARIE BACKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SP0195

Contact information

Practice address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1200
(207) 871-1232
Mailing address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1200
(207) 871-1232

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP0195
ME

Other

Enumeration date
04/16/2009
Last updated
04/16/2009
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