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Individual

MRS. JILL A FAZEKAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC/SLP

Contact information

Practice address
158 STATE ST, MERIDEN, CT 06450-3202
(203) 237-7835
Mailing address
158 STATE ST, MERIDEN, CT 06450-3202
(203) 237-7835

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003354
CT

Other

Enumeration date
11/25/2009
Last updated
11/25/2009
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