Individual
ELLEN L SPOONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
73 HARLOW ST, BANGOR, ME 04401-5118
(207) 942-4156
Mailing address
73 HARLOW ST, BANGOR, ME 04401-5118
(207) 992-4156
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP187
ME
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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