SUSANNE BOULETTE

LEWISTON, ME
NPI1366642548
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
(Licence: ME  282 385124)
Enumeration Date2007-07-25
Last Update Date2007-07-25
Business Address
-- SUSANNE BOULETTE
1567 LISBON ST
LEWISTON, ME 04240-3545
Phone number: 207-795-4022
Mailing Address
-- SUSANNE BOULETTE
1567 LISBON ST
LEWISTON, ME 04240-3545
Phone number: 207-795-4022
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