Individual
OLIVIA NICOLE LEWALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 FAIRFAX RD, SAINT ALBANS, VT 05478-6299
(802) 752-1600
Mailing address
110 FAIRFAX RD, SAINT ALBANS, VT 05478-6299
(802) 752-1600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
144.0134867
VT
Other
Enumeration date
05/13/2024
Last updated
04/17/2025
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