person
Lacey Bourgoin, SLP-A
Speech-Language Assistant in Randolph, Maine
NPI 1528467792

Lacey Bourgoin is a Speech-Language Assistant based in Randolph, ME and is specialized in Speech-Language Assistant. Lacey Bourgoin practices in Randolph, ME and has the professional credentials of SLP-A. The NPI Number for Lacey Bourgoin is 1528467792 and holds a License No. BH001153 (Maine).

The current practice location address for Lacey Bourgoin is 17 School St, Randolph, ME and can be reached out via phone at 207-588-2699.

Location: 17 School St, Randolph, ME, 04346-5143
person
Provider Profile Details
NPI Number
1528467792
Provider Name
Lacey Bourgoin
Credential
SLP-A
Provider Entity Type
Individual
Gender
Female
Address
17 School St, Randolph, ME, 04346-5143
Phone Number
207-588-2699
Fax Number
Provider Enumeration Date
08/14/2014
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
17 School St
City
State
Zip
04346-5143
Phone Number
207-588-2699
Fax Number
person
Provider Business Mailing Address Details
Address
17 School St
City
State
Zip
04346-5143
Phone Number
207-588-2699
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
License No.
BH001153 (Pennsylvania)
Definition
Definition to come...
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