Individual
MISS STEPHANIE LYNN-POOLE JODICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.-CCC
Contact information
Practice address
1 MEAGAN CIR, ELLINGTON, CT 06029-3670
(413) 636-9972
Mailing address
1 MEAGAN CIR, ELLINGTON, CT 06029-3670
(413) 636-9972
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004048
CT
Other
Enumeration date
12/06/2010
Last updated
08/09/2021
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