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Individual

MS. KAREN LYNN TAVILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
295 MAMMOTH RD, LONDONDERRY, NH 03053-3095
(603) 432-6941
Mailing address
215 S BROADWAY, STE 1 PMB 307, SALEM, NH 03079
(603) 401-1562

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3276
ME

Other

Enumeration date
01/18/2021
Last updated
09/11/2025
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