Individual
KRISTIN A MACINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 CENTRAL AVE, SUITE C, DOVER, NH 03820-3434
(603) 926-3277
Mailing address
23 WENTWORTH RD, BERWICK, ME 03901-2831
(603) 548-6661
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1427
NH
Other
Enumeration date
07/16/2012
Last updated
12/08/2016
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