Individual
SUSAN HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-4892
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-4892
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
ME
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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