Individual
MYRA MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 POST RD, WELLS, ME 04090-4508
(207) 646-5953
Mailing address
6 LORD JASON DR, BIDDEFORD, ME 04005-9617
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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