Individual
CARLA LARRACUENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 POST RD, SUITE 204, FAIRFIELD, CT 06824-6038
(203) 255-3669
(203) 255-1173
Mailing address
1300 POST RD, SUITE 204, FAIRFIELD, CT 06824-6038
(203) 255-3669
(203) 255-1173
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002940
CT
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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