Organization
CHILD DEVELOPMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WHITNEY N WHITE (SPEECH-LANGUAGE PATHOLOGIST)
(207) 947-4819
Entity
Organization
Contact information
Practice address
250 STATE ST, BREWER, ME 04412-1519
(207) 947-8493
Mailing address
250 STATE ST, BREWER, ME 04412-1519
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
ST2570
ME
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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