Individual
MRS. MICHELLE LYNN GAWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
22 MASONIC AVE, WALLINGFORD, CT 06492-3048
(203) 679-5409
Mailing address
22 MASONIC AVE, WALLINGFORD, CT 06492-3048
(203) 679-5409
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003335
CT
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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