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1154635084
DINA DERRICK
SOUTH PORTLAND, ME
NPI
1154635084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: ME SP944)
Enumeration Date
2010-08-03
Last Update Date
2010-08-03
Business Address
DINA DERRICK
130 WESCOTT RD SOUTH PORTLAND SCHOOL DEPARTMENT
SOUTH PORTLAND, ME 04106-3420
Phone number: 207-871-0555
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Mailing Address
DINA DERRICK
130 WESCOTT RD SOUTH PORTLAND SCHOOL DEPARTMENT
SOUTH PORTLAND, ME 04106-3420
Phone number: 207-871-0555
Copy
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