Individual
LYDIA ESTHER COLLAZO-GIRAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
92 MAQUOIT DR, FREEPORT, ME 04032-6320
(760) 542-1592
Mailing address
92 MAQUOIT DR, FREEPORT, ME 04032-6320
(760) 542-1592
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11593
CA
235Z00000X
Speech-Language Pathologist
2773
ME
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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