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1063625713
LARA KATHRYN COLLICOTT
CARIBOU, ME
NPI
1063625713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ME 759)
Enumeration Date
2007-05-08
Last Update Date
2009-12-30
Business Address
-- LARA KATHRYN COLLICOTT Speech Pathologist
163 VAN BUREN RD
CARIBOU, ME 04736-3567
Phone number: 207-498-3111
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Mailing Address
-- LARA KATHRYN COLLICOTT Speech Pathologist
163 VAN BUREN RD
CARIBOU, ME 04736-3567
Phone number: 207-498-3111
Copy
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