Individual
CRYSTAL A. MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 MAIN ST, OAKVILLE, CT 06779-1999
(860) 945-3012
(860) 945-9854
Mailing address
PO BOX 425, WATERTOWN, CT 06795
(860) 945-3012
(860) 945-9854
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004052
CT
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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