JANE ELLEN MACK

PORTLAND, ME
NPI1689980856
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ME  05)
Enumeration Date2010-08-26
Last Update Date2010-08-26
Business Address
-- JANE ELLEN MACK SPL
284 CUMBERLAND AVE
PORTLAND, ME 04101-4927
Phone number: 207-874-8250
Mailing Address
-- JANE ELLEN MACK SPL
49 BROAD COVE RD
CAPE ELIZABETH, ME 04107-2901
Phone number: 207-799-6377
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