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Individual

MS. SHELLEY ANN ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCCSLP

Contact information

Practice address
331 VERANDA STREET, PORTLAND, ME 04103
(207) 874-1125
(207) 874-1127
Mailing address
331 VERANDA STREET, PORTLAND, ME 04103
(207) 874-1125
(207) 874-1127

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1746
ME
235Z00000X
Speech-Language Pathologist
DE

Other

Enumeration date
12/05/2006
Last updated
07/23/2007
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