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Individual

KAREN A SAMPLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-A

Contact information

Practice address
107 NEWTOWN RD, DANBURY, CT 06810-4146
(203) 830-4700
(203) 730-4166
Mailing address
107 NEWTOWN RD, DANBURY, CT 06810-4146
(203) 830-4700
(203) 730-4166

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000303
CT
237600000X
Audiologist-Hearing Aid Fitter
000303
CT

Other

Enumeration date
01/30/2009
Last updated
01/30/2018
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