Individual
MISS HELEN RENATE KILBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 RIDGE RD, CENTERBROOK, CT 06409-1036
(860) 326-1346
Mailing address
24 RIDGE RD, CENTERBROOK, CT 06409-1036
(860) 326-1346
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
006357
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6357
CT DPH LICENSE
CT
Enumeration date
11/19/2020
Last updated
11/19/2020
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