Individual
MS. LANESE HAREWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
226 MILL HILL AVE, BRIDGEPORT, CT 06610-2826
(203) 336-7338
Mailing address
9 PARK ST # 11, UNIT 104, NORWALK, CT 06851-4804
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004176
CT
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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