Individual
MS. EVELYN NADINE WULLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 ASPEN DR, S GLASTONBURY, CT 06073-2938
(925) 366-4214
Mailing address
30 ASPEN DR, S GLASTONBURY, CT 06073-2938
(925) 366-4214
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004193
CT
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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