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Individual

MRS. KACEY LEIGH BURAKOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
700 BEACH RD, ELMORE, ELMORE, VT 05661-2010
(802) 888-8474
Mailing address
700 BEACH RD, ELMORE, ELMORE, VT 05661-2010

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12095771
VT

Other

Enumeration date
08/09/2010
Last updated
08/09/2010
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