Individual
ANNA NEPOMUCENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 ROBERTA DR, MIDDLETOWN, CT 06457-5510
(860) 941-2938
Mailing address
8 ROBERTA DR, MIDDLETOWN, CT 06457-5510
(860) 941-2938
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6423
CT
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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