Individual
ANGELA THIBAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
524 N BROWNELL RD, WILLISTON, VT 05495-7500
(802) 318-0393
Mailing address
524 N BROWNELL RD, WILLISTON, VT 05495-7500
(802) 318-0393
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8012020
VT
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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