Individual
EMMA BOLDUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 CHAMBERLAIN RD, SCARBOROUGH, ME 04074-9192
(207) 883-6680
Mailing address
45 FOREST PARK APT 2, PORTLAND, ME 04101-1743
(603) 562-7718
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/01/2017
Last updated
12/07/2022
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