CHARLES D BURNETTE

BRIDGTON, ME
NPI1578074837
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ME  SP2711)
Enumeration Date2017-10-13
Last Update Date2017-10-13
Business Address
CHARLES D BURNETTE
10 HOSPITAL DR
BRIDGTON, ME 04009-1148
Phone number: 207-647-6000
Mailing Address
CHARLES D BURNETTE
364 MAIN ST
LEWISTON, ME 04240-7029
Phone number: