Individual
MIA FAMULARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
304 MAIN ST # A, FARMINGTON, CT 06032-2985
(860) 674-1824
Mailing address
24 MARY DR, NEW HARTFORD, CT 06057-4301
(860) 978-3890
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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