Individual
BETHANY JUSTINE RODERIGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 COOL ST, WATERVILLE, ME 04901-5221
(207) 873-0721
Mailing address
44 OAKWOOD DR, BELGRADE, ME 04917-4546
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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