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Individual

JUDITH L SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
39 LIMERICK RD, ARUNDEL, ME 04046-8158
(207) 496-9841
Mailing address
10 JESSE CIR, SANFORD, ME 04073-6136
(207) 651-3574

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1536
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
061365
ANTHEM BLUE CROSS AND BLU
ME
05
431827199
ME
Enumeration date
08/22/2006
Last updated
09/08/2023
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