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1326501495
JESSICA BROOKE KENWORTHY
PORTLAND, ME
NPI
1326501495
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Former Name
JESSICA RACHEL KENWORTHY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ME ST2905)
Enumeration Date
2019-04-07
Last Update Date
2019-06-11
Business Address
JESSICA BROOKE KENWORTHY MS CF-SLP
125 PRESUMPSCOT ST UNIT 10
PORTLAND, ME 04103-5225
Phone number: 207-747-5394
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Mailing Address
JESSICA BROOKE KENWORTHY MS CF-SLP
65 SPRUCE ST APT 2
PORTLAND, ME 04102-4068
Phone number: 617-710-7108
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