Individual
DEBORAH JANE HUNSICKER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 TERRACE LN, IVORYTON, CT 06442-1219
(860) 767-7385
Mailing address
4 TERRACE LN, IVORYTON, CT 06442-1219
(860) 767-7385
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001785
CT
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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