Individual
MS. ANNIE DIVELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 SEARLES RD, WINDHAM, NH 03087-1203
(603) 890-1290
Mailing address
35 EAGLE NEST WAY, MANCHESTER, NH 03104-6416
(603) 836-5246
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1171
NH
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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