Individual
MICAELA NICOLE LABONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
78 VIETS ST, NEW LONDON, CT 06320-3354
(860) 447-1416
Mailing address
156 BECKWITH HILL DR, SALEM, CT 06420-4114
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005891
CT
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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