Individual
KOLLEEN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 E CHESTNUT ST, AUGUSTA, ME 04330-5758
(207) 623-6500
Mailing address
6 E CHESTNUT ST, AUGUSTA, ME 04330-5758
(207) 623-6500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ST3035
ME
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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