Individual
MISS ELLAINE L ABALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
72 SALMON BROOK DR, GLASTONBURY, CT 06033-2131
(860) 633-5244
Mailing address
72 SALMON BROOK DR, GLASTONBURY, CT 06033-2131
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4091
CT
Other
Enumeration date
03/20/2010
Last updated
03/20/2010
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