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Organization

ADAMS SPEECH THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TARA K ADAMS (PRESIDENT)
(207) 872-5775
Entity
Organization

Contact information

Practice address
155 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-5132
(207) 872-5775
Mailing address
PO BOX 257, WATERVILLE, ME 04903-0257

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
SP1087
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
135810000
ME
01
SP1087
LICENSE
ME
Enumeration date
04/13/2007
Last updated
02/09/2009
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