Individual
SHELLY F SPOONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STA
Contact information
Practice address
57 FAIRVIEW AVE, SKOWHEGAN, ME 04976-1414
(207) 474-7000
(207) 858-4772
Mailing address
PO BOX 468, SKOWHEGAN, ME 04976-0468
(207) 474-5121
(207) 474-9261
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SAS2352
ME
Other
Enumeration date
02/20/2020
Last updated
03/10/2022
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