Individual
MS. MICHELLE LYNN RACCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
59 ROXBURY RD, STAMFORD, CT 06902-1283
(203) 329-0106
Mailing address
59 ROXBURY RD, STAMFORD, CT 06902-1283
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004030
CT
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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