Individual
JANE MACKIE SYME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 MAIN ST UNIT 29, IVORYTON, CT 06442-1031
(860) 575-5724
Mailing address
65 MAIN ST UNIT 29, IVORYTON, CT 06442-1031
(860) 575-5724
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00612
CT
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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