Search › Maine › 2355S0801X
Lacey Bourgoin, SLP-A
NPI 1528467792 · on the registry since 2014
Practice
- Address
- 17 School St
Randolph, ME 04346 - Phone
- (207) 588-2699
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 2355S0801X
2355S0801X
- Also registered as
- 101YM0800X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine