JESSICA BROOKE KENWORTHY

PORTLAND, ME
NPI1326501495
Former NameJESSICA RACHEL KENWORTHY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ME  ST2905)
Enumeration Date2019-04-07
Last Update Date2019-06-11
Business Address
JESSICA BROOKE KENWORTHY MS CF-SLP
125 PRESUMPSCOT ST UNIT 10
PORTLAND, ME 04103-5225
Phone number: 207-747-5394
Mailing Address
JESSICA BROOKE KENWORTHY MS CF-SLP
65 SPRUCE ST APT 2
PORTLAND, ME 04102-4068
Phone number: 617-710-7108