Individual
JILLIAN DITOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
382 S MAIN ST, CHESHIRE, CT 06410-3115
(203) 250-9663
(203) 699-9641
Mailing address
382 S MAIN ST, CHESHIRE, CT 06410-3115
(203) 250-9663
(203) 699-9641
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005875
CT
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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