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Individual

WAYNE FLEWELLING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CCC/SP

Contact information

Practice address
142 HUDSON TER, PITTSFORD, VT 05763-9438
(802) 779-3539
Mailing address
142 HUDSON TER, PITTSFORD, VT 05763-9438
(802) 779-3539

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8011026
VT

Other

Enumeration date
05/21/2015
Last updated
05/21/2015
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