Individual
KELSEY ANN STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 AUBURN ST STE 1G, PORTLAND, ME 04103-6001
(207) 797-8255
Mailing address
222 AUBURN ST STE 1G, PORTLAND, ME 04103-6012
(207) 797-8255
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
4731
OK
235Z00000X
Speech-Language Pathologist
Primary
SP2897
ME
Other
Enumeration date
07/11/2017
Last updated
10/07/2020
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