Individual
JADE GRAYCE PEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 NOBLE LN, BERWICK, ME 03901-2842
(207) 698-1188
Mailing address
119 SPINNAKER WAY, PORTSMOUTH, NH 03801-3369
(518) 669-2714
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ST2061
ME
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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