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Individual

MIKAYLA NARDOLILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
989 RESERVOIR AVE STE 202, CRANSTON, RI 02910-5138
(401) 206-6642
Mailing address
84 COVENTRY DR, COVENTRY, RI 02816-5959
(401) 206-6642

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP01737
RI

Other

Enumeration date
09/13/2022
Last updated
09/13/2022
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