Individual
KENDALL MAE BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CF
Contact information
Practice address
7 GILMAN STREET, MARS HILL, ME 04758
(207) 227-6399
Mailing address
PO BOX 332, MARS HILL, ME 04758-0332
(207) 227-6399
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ST3015
ME
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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