Individual
HALEY USILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 AUBURN ST, PORTLAND, ME 04103-6002
(207) 797-8255
Mailing address
222 AUBURN ST, PORTLAND, ME 04103-6002
(207) 797-8255
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ST3735
ME
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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