Individual
JACQUELINE ANN SANTACROCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-4845
Mailing address
85 BEACON VIEW DR, FAIRFIELD, CT 06825-3704
(203) 331-6426
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4775
CT
Other
Enumeration date
12/08/2014
Last updated
03/04/2015
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