Individual
KATHLEEN DENIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62 MECHANIC ST, BUCKSPORT, ME 04416-4094
(207) 469-6642
Mailing address
62 MECHANIC ST, BUCKSPORT, ME 04416-4094
(207) 469-6642
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SAS1999
ME
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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