Individual
MRS. JAN L. JUDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
39 JENNIFER DR, GORHAM, ME 04038-2398
(207) 712-6682
Mailing address
39 JENNIFER DR, GORHAM, ME 04038-2398
(207) 712-6682
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1336
ME
Other
Enumeration date
08/28/2010
Last updated
08/28/2010
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