Individual
MRS. ALISE REBECCA DEMARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 SACO RD, STANDISH, ME 04084-6240
(207) 929-3840
Mailing address
94 MAIN ST, BUXTON, ME 04093-6105
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ST2357
ME
Other
Enumeration date
08/02/2014
Last updated
08/02/2014
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