Individual
SARAH JANE KICKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
162 WEST ST STE F, CROMWELL, CT 06416-4405
(860) 613-9930
Mailing address
162 WEST ST STE F, CROMWELL, CT 06416-4405
(860) 613-9930
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001627
CT
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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