JOHANNA HENRY

PORTLAND, ME
NPI1932244696
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ME  SP1357)
Enumeration Date2007-02-20
Last Update Date2007-07-09
Business Address
-- JOHANNA HENRY
125 PRESUMPSCOT ST
PORTLAND, ME 04103-5225
Phone number: 207-828-0754
Mailing Address
-- JOHANNA HENRY
408 W ELM ST
YARMOUTH, ME 04096-8119
Phone number:
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