Individual
CHRISTINE CLOUTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
415 RODMAN RD, AUBURN, ME 04210-3942
(207) 376-3022
(207) 376-3039
Mailing address
415 RODMAN RD, AUBURN, ME 04210-3942
(207) 376-3022
(207) 376-3039
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP978
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP978
SPEECH LICENSE
ME
Enumeration date
11/19/2007
Last updated
11/27/2017
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