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Individual

MS. JEANNE CIVIELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
66 SUZANNE DR, PORTSMOUTH, NH 03801-5956
(978) 337-4894
Mailing address
66 SUZANNE DR, PORTSMOUTH, NH 03801-5956
(978) 337-4894

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1079
NH

Other

Enumeration date
04/09/2022
Last updated
04/09/2022
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