Individual
COREENA ANNE BEHNKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 FOREST AVE, PORTLAND, ME 04103-3304
(207) 781-8881
Mailing address
5 COLONIAL DR, RAYMOND, ME 04071-6042
(207) 712-6101
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
328550
ME
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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