Individual
ASHLEY RENEE WOODBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
12 ROBIE ST, GORHAM, ME 04038-1710
(207) 222-1290
Mailing address
40 DEWAYNS WAY, GORHAM, ME 04038-2098
(207) 420-1524
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP3678
ME
235Z00000X
Speech-Language Pathologist
ST3495
ME
Other
Enumeration date
06/21/2021
Last updated
10/17/2024
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