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Individual

MRS. KATHARINE AMY FARRELL MORIARTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
94 MAIN ST, BUXTON, ME 04093-6105
(207) 929-3831
(207) 642-7898
Mailing address
94 MAIN ST, BUXTON, ME 04093-6105
(207) 929-3831
(207) 642-7898

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 2195
ME
235Z00000X
Speech-Language Pathologist
ST2092
ME

Other

Enumeration date
03/29/2012
Last updated
07/11/2014
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