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Individual

MISS L AURIE ELIZABETH ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
36 OAK ST, LEWISTON, ME 04240-7149
(207) 795-4100
Mailing address
36 OAK ST, LEWISTON, ME 04240-7149
(207) 795-4100

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP522
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SP522
STATE OF MAINE
ME
Enumeration date
10/27/2010
Last updated
10/27/2010
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