Individual
SUSAN FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 WEST ST, FREEPORT, ME 04032-1121
(207) 865-0928
Mailing address
PO BOX 1433, SCARBOROUGH, ME 04070-1433
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP109
ME
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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