Individual
MRS. JANE M. BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
899 CENTRAL ST, MILLINOCKET, ME 04462-2125
(207) 723-6450
(207) 723-3008
Mailing address
899 CENTRAL ST, MILLINOCKET, ME 04462-2125
(207) 723-6450
(207) 723-3008
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1722
ME
Other
Enumeration date
06/15/2011
Last updated
09/10/2013
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