NPI Profile for LAURA ANGELEY DEVEREUX in ISLE AU HAUT, ME.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI # | 1164245189 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/07/2024 | |
| Last updated | 11/07/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LAURA ANGELEY DEVEREUX
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