Individual
MRS. LORI S, NICOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
216 ELM ST, BENNINGTON, VT 05201-2218
(802) 442-3940
Mailing address
216 ELM STREET, BENNINGTON, VT 05201
(802) 442-3940
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
VT
Other
Enumeration date
12/24/2009
Last updated
12/24/2009
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