Individual
JUDITH ANN SGAGLIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
162 WEST ST STE F, CROMWELL, CT 06416-4405
(860) 613-9930
Mailing address
654 OLDFIELD RD, FAIRFIELD, CT 06824-6453
(203) 919-0332
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001085
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001085
SLP LICENSE
CT
Enumeration date
06/17/2019
Last updated
06/17/2019
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