Individual
MRS. DANA C MONTEFUSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
163 REDDING RD, REDDING, CT 06896-3213
(203) 544-8176
Mailing address
163 REDDING RD, REDDING, CT 06896-3213
(203) 544-8176
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
006328-1
NY
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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