Individual
NICOLE MARCELYNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
295 WINDING BROOK FARM RD, WATERTOWN, CT 06795-1745
(860) 945-9777
Mailing address
295 WINDING BROOK FARM ROAD, WATERTOWN, CT 06795
(860) 945-9777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4786
CT
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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