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Individual

KEINA MARIE FIELDS-SMALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
130 ROSEANNA RD, PLANTSVILLE, CT 06479-1231
(315) 727-9927
Mailing address
130 ROSEANNA RD, PLANTSVILLE, CT 06479-1231
(315) 727-9927

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
003640
CT
235Z00000X
Speech-Language Pathologist
Primary
014001-01
NY

Other

Enumeration date
12/12/2025
Last updated
12/12/2025
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