ELIZABETH BEAVEN

GORHAM, ME
NPI1134436843
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ME  SP1073)
Enumeration Date2010-09-02
Last Update Date2010-09-02
Business Address
-- ELIZABETH BEAVEN
12 ROBIE ST
GORHAM, ME 04038-1710
Phone number: 207-222-1354
Mailing Address
-- ELIZABETH BEAVEN
12 ROBIE ST
GORHAM, ME 04038-1710
Phone number:
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