Individual
ALICIA FOLLAND-TILLINGHAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
50 HIGH ST, SOUTH GLASTONBURY, CT 06073-2208
(860) 633-7669
Mailing address
50 HIGH ST, SOUTH GLASTONBURY, CT 06073-2208
(860) 633-7669
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002142
CT
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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