Individual
ANNA B LIFVERGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
14 SOUTHSIDE RD, YORK, ME 03909-5117
(617) 620-1527
Mailing address
14 SOUTHSIDE RD, YORK, ME 03909-5117
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60567939
WA
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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