| NPI | 1174757991 |
|---|---|
| Doing Business As | ELIZABETH FAGAN |
| Entity Type | Organization |
| Authorized Contact | SUSAN MCKINLEY Billing Manager 207-939-7072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP886) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-05-07 |