Individual
JESSICA RAGUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
172 MOUNT PLEASANT RD, NEWTOWN, CT 06470
(203) 725-7729
Mailing address
1931 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3506
(203) 384-8681
(203) 384-0722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004210
CT
Other
Enumeration date
08/29/2010
Last updated
08/13/2018
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