SUSANNE BOULETTE

Developmental Therapist

Active Individual
NPI: 1366642548

Practice Address

1567 LISBON ST
Lewiston, ME 04240

Phone: (207) 795-4022

Specialties

Specialty Code Primary License
Developmental Therapist 222Q00000X Yes -

Frequently Asked Questions

NPI 1366642548 is the National Provider Identifier for SUSANNE BOULETTE, a Developmental Therapist provider located in Lewiston, ME. This NPI was enumerated on July 25, 2007.
SUSANNE BOULETTE practices at 1567 LISBON ST, Lewiston, ME 04240.

Quick Facts

NPI
1366642548
Type
Individual
Enumerated
Jul 25, 2007
Last Updated
Jul 25, 2007

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