Individual
LAUREN A MARIETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
457 BANTAM RD, LITCHFIELD, CT 06759-3225
(860) 483-8311
Mailing address
40 WILSON RD, LITCHFIELD, CT 06759-2621
(860) 483-8311
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7109
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366106395
—
CT
Enumeration date
10/26/2021
Last updated
01/15/2025
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