Individual
MRS. LINDA BEACH BOUFFARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC,SLP
Contact information
Practice address
612 HAZARD AVE, ENFIELD, CT 06082-4225
(860) 749-8388
Mailing address
30 SUNRISE HILL DR, WEST HARTFORD, CT 06107-3348
(860) 305-6613
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001053
CT
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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