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Organization
SPEECH OF MADISON, LLC
Active
Organization
SPEECH OF MADISON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON LYNN MARCZEWSKI MS, CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(203) 500-1347
Entity
Organization
Contact information
Practice address
21 BOSTON POST RD, MADISON, CT 06443-2131
(203) 500-1347
Mailing address
26 OVERLOOK FARMS RD, KILLINGWORTH, CT 06419-1337
(860) 391-5899
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00801509
—
CT
Enumeration date
11/30/2018
Last updated
11/30/2018
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