Individual
MRS. KELLY POULIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-M.S., SLP
Contact information
Practice address
1299 GILBERT RD, WILLIAMSTOWN, VT 05679-9210
(802) 433-1523
Mailing address
1299 GILBERT RD, WILLIAMSTOWN, VT 05679-9210
(802) 433-1523
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8006325
VT
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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