Individual
MS. NICOLLE LAURA ANNICELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
59 HARRINGTON CT, COLCHESTER, CT 06415-1207
(860) 537-2339
Mailing address
21 SCENIC RD, MADISON, CT 06443-1738
(203) 421-3468
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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