Individual
ALLISON GUDIS-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34 MAPLE ST, NORWALK, CT 06850-3815
(203) 852-2000
Mailing address
34 MAPLE ST, NORWALK, CT 06850-3815
(203) 852-2000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3716
CT
Other
Enumeration date
12/05/2014
Last updated
08/24/2015
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