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Organization

SHORELINE SPEECH & LANGUAGE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAUREL K VINCENT M.A., CCC-CLP (SPEECH/LANGUAGE PATHOLOGIST)
(832) 545-3384
Entity
Organization

Contact information

Practice address
7 KERRIE CT, GALES FERRY, CT 06335-1115
(832) 545-3384
Mailing address
7 KERRIE CT, GALES FERRY, CT 06335-1115
(832) 545-3384

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003406
CT

Other

Enumeration date
11/06/2007
Last updated
11/06/2007
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