Individual
MS. RENEE ELLICOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 LIBERTY CMN, RYE, NH 03870-2013
(603) 553-0589
Mailing address
70 LIBERTY COMMON, RYE, NH 03870
(603) 553-0589
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0768
NH
235Z00000X
Speech-Language Pathologist
5223
MA
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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