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Individual

MRS. KRISTIN WILFON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
162 WEST ST STE F, CROMWELL, CT 06416-4405
(860) 613-9930
(860) 613-9952
Mailing address
102 COLLEGE ST, KINGSLAND, GA 31548-6954
(303) 250-9155

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
006109
CT
235Z00000X
Speech-Language Pathologist
12280
NC
235Z00000X
Speech-Language Pathologist
9860
CA
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
02/03/2016
Last updated
04/07/2024
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