Individual
ASHLEY GOOLDRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
538 WESTERN AVE, AUGUSTA, ME 04330-7739
(207) 621-1125
Mailing address
PO BOX 257, WATERVILLE, ME 04903-0257
(207) 872-5775
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SAS2059
ME
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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