Individual
MISS KAITLYN A. GAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
42 N MAIN ST, UNIT 71, WEST HARTFORD, CT 06107-1927
(860) 368-0642
Mailing address
PO BOX 114, ASHFORD, CT 06278-0114
(860) 368-0642
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004403
CT
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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