LARA KATHRYN COLLICOTT

CARIBOU, ME
NPI1063625713
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ME  759)
Enumeration Date2007-05-08
Last Update Date2009-12-30
Business Address
-- LARA KATHRYN COLLICOTT Speech Pathologist
163 VAN BUREN RD
CARIBOU, ME 04736-3567
Phone number: 207-498-3111
Mailing Address
-- LARA KATHRYN COLLICOTT Speech Pathologist
163 VAN BUREN RD
CARIBOU, ME 04736-3567
Phone number: 207-498-3111