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Individual

MARIE-ANGE LATAILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
267 ALFRED ST, BIDDEFORD, ME 04005-4494
(781) 957-6095
Mailing address
667 CONGRESS ST APT 419, PORTLAND, ME 04101-5178
(781) 957-6095

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
113461
ME

Other

Enumeration date
08/23/2024
Last updated
08/23/2024
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