Individual
GRACE A POTWARDOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 RACEBROOK ROAD, ORANGE, CT 06477-0647
(203) 920-1885
(203) 920-1881
Mailing address
382 S MAIN ST, CHESHIRE, CT 06410-1379
(203) 250-9663
(203) 250-9663
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1085
CT
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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