Individual
MS. JENNIFER DEARBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 HIGHLAND AVE, GARDINER, ME 04345-1812
(207) 582-6268
Mailing address
150 HIGHLAND AVE, GARDINER, ME 04345-1812
(207) 582-6268
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1517
ME
Other
Enumeration date
09/21/2010
Last updated
08/07/2012
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