Individual
ANGELA MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 WALTER ST, EAST HAVEN, CT 06512-2744
(203) 907-8885
Mailing address
5 WALTER ST, EAST HAVEN, CT 06512-2744
(203) 907-8885
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002808
CT
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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