Individual
NICOLE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1268 MAIN ST, NEWINGTON, CT 06111-3038
(860) 200-7450
Mailing address
305 MAPLE ST, EAST LONGMEADOW, MA 01028-2765
(413) 525-6361
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004753
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/13/2012
Last updated
04/02/2021
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