Individual
KATHLEEN FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., SLP-CCC
Contact information
Practice address
906 MAIN ST, L, SOUTH WINDSOR, CT 06074-3305
(860) 748-0811
Mailing address
906 L MAIN ST, SOUTH WINDSOR, CT 06074
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004828
CT
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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