Individual
DIANA MARIE AVERSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 BRAZIER LN, KENNEBUNK, ME 04043-7095
(207) 985-3030
Mailing address
17 COOPER ST APT 3, BOSTON, MA 02113-2284
(781) 462-7885
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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