Individual
SEEMA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 PEMBROKE DR, ASHFORD, CT 06278-1513
(860) 429-9086
Mailing address
11 PEMBROKE DR, ASHFORD, CT 06278-1513
(860) 429-9086
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002602
CT
Other
Enumeration date
02/19/2012
Last updated
02/19/2012
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