Individual
CARRIE IWANKOVITSCH-ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 HASTINGS RD, WATERFORD, VT 05819-9554
(802) 751-7431
Mailing address
45 HASTINGS RD, WATERFORD, VT 05819-9554
(802) 751-7431
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1978
NH
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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