Individual
SUSANNE GALLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
202 KIDDER HILL RD, HOLDEN, ME 04429-6222
(207) 843-0702
Mailing address
202 KIDDER HILL RD, HOLDEN, ME 04429-6222
(207) 843-0702
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1459
ME
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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