Individual
WUNDERLY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
49 ACADEMY ST, SOUTH BERWICK, ME 03908-1503
(207) 384-4010
Mailing address
61 BUTLER ST, SOUTH BERWICK, ME 03908-1315
(207) 384-2705
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/29/2010
Last updated
08/29/2010
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