Individual
MR. CHARLES DOMINICK STAGNITTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS CCC-SLP
Contact information
Practice address
601 RIVER ST, WINDSOR, CT 06095-1325
(860) 298-9079
(860) 298-8413
Mailing address
185 W BASS LN, SUFFIELD, CT 06078-1955
(860) 668-1948
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0081827
CT
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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