Individual
SUSAN BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 PINE ST, PRESQUE ISLE, ME 04769-2937
(207) 764-8104
Mailing address
50 PINE ST, PRESQUE ISLE, ME 04769-2937
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP706
ME
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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